Train for Life Registration Form

Cycle 1-Train for Life (Osage) Registration Form

Train for Life (Osage) is an 8 week Special Olympics Missouri program that focuses on overall wellness. This will be ran out of Kallus Gym. The address is (1036 Stonecrest Circle, Osage Beach, MO 65052). This program will start on 9/23/26-11/11/26. There will be a once a week in person fitness component each Wednesday at 6:00 PM-7:00PM. Please see the weekly agenda below : 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 Osage athletes or surrounding athletes and this is a FREE program! No cost of the athlete.
Athlete Details:
Full Name

First NameLast Name
Athlete Date of Birth:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Athlete Age:
Athlete Shirt Size
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Emergency Contact Information: (Guardian/Parent/Relative etc)

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Fitness Goals:
Current Fitness Level:
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 Special Olympics Missouri & Train 4 Life Coach 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 Kallus Gym will do all they can to ensure a safe environment while implementing training."
Should be Empty:

Cycle 1-Train for Life (Osage) Registration Form