Pre-Workout Check-In Form
Please complete this form before participating in your workout session to help ensure your safety and readiness.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Check-In
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Have you experienced any of the following in the last 48 hours?
*
Fever or chills
Cough or sore throat
Shortness of breath
Muscle or joint pain
Nausea or dizziness
None of the above
Are you currently taking any medication that may affect your workout?
*
Yes
No
Please list any current injuries or medical conditions.
What is your primary goal for today's workout?
*
Strength training
Cardio/endurance
Flexibility/mobility
General fitness
Other
Emergency Contact Name
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Signature
*
Submit Check-In
Submit Check-In
Should be Empty: