The Pride Gym - Free Trial Form

The Pride Gym

THE PRIDE GYM - FREE TRIAL FORM

Name *

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Last

Phone *

Date of Birth *//

Email *

Email

Confirm Email

Address

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Address Line 2

City

State / Province / Region

Postal Code

Exercise Goals *

Have you ever had or suffered from any of the following?

If you answered 'Yes' you must seek consent to train from your GP.

Are you pregnant? (Women only)

Emergency Contact *

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Last

Please enter the details of the person to be contacted in case of emergency