New Client Application — Charles Rollins Fitness

You’re about to be one step closer to reaching your goals

TEll US about yourself

Please take a moment to fill out our new client application so that we can get to know you a bit. We have no doubt you’ll be feeling like family in no time.

Name

First Name

Last Name

Phone

(###)

###

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What are your top three fitness goals?

Why are these goals meaningful to you?

Have you tried achieving these goals in the past?

If so, by what means?

Please let us know about your current and/or previous experience with exercise

For example: Do you/have you played any sports, go to the gym, do you run, cycle, practice yoga, etc.