Senior Upper Body Strength Training Program Signup Form
Please complete this form to enroll in the Senior Upper Body Strength Training Program. All information provided helps us place you in the most suitable group and ensure a safe, enjoyable experience.
Full Name
*
First Name
Last Name
Age
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Emergency Contact Name and Relationship
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
How would you describe your current fitness or activity level?
*
Beginner (little or no regular exercise)
Moderate (some regular activity or past experience)
Active (frequent exercise or strength training experience)
Do you have any physical considerations or limitations we should be aware of? (e.g., joint issues, mobility considerations)
Preferred training days/times
*
Monday morning
Monday afternoon
Wednesday morning
Wednesday afternoon
Friday morning
Friday afternoon
Other
Optional notes for program placement (e.g., goals, preferences, or anything else you’d like us to know)
Submit
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