Train for Life (WENTZVILLE/ST. LOUIS) Registration Form
Train for Life (St. Louis) is a 12 week Special Olympics Missouri program that focuses on overall wellness. This will be ran out of Emerge Fitness (West). The address is (1231 Wentzville Parkway, Wentzville 63385). The first cycle of this program will start on Jan 25th-April 26th. There will be a once a week in person fitness component each Saturday at the Emerge Fitness starting at 8:30 AM-9:30 AM. Please see the weekly agenda below: (this will also be sent to you in calendar format via email after filling out this registration form) : Fitness Workouts•1 x 60 Minute workout in-person with the Train 4 Life™ Coach•2 x 30 Minute at-home workout provided to athletes• -SIGN UP NOW AS SPOTS WILL BE LIMITED TO 15 Athletes. This is only open to St. Louis Area athletes and this is a FREE program! No cost of the athlete.
Athlete Details:
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
example@example.com
Emergency Contact Information: (Guardian/Parent/Relative etc)
First Name
Last Name
Phone Number
Please enter a valid phone number.
Fitness Goals:
Please Select
General Health
Weight Loss
Athletic Perfromance
Competition
Community
Current Fitness Level:
Please Select
Beginner (Workout 0-1 time per week)
Moderate (Workout 2-3 times per week)
Advanced (Workout 3-5 times per week)
Injuries/Medical Information Fitness Professional Should be aware of:
"I acknowledge that participating in fitness activities involves inherent risks, including the potential for injury. I understand that Emerge Fitness is not liable for any injuries or damages that may occur as a result of my participation in workouts or related activities. However, I also recognize that the professionals at Emerge Fitness will do all they can to ensure a safe environment while implementing training."
Please Select
I understand.
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