Free 4 Week Fitcamp Challenge
Kindly complete this Pre-Registration Form in order to secure your spot in the next Challenge.
Coach Natasha
Challenge sessions are on Mondays and Thursdays from 18h30 until 19h30, for the duration of 4 weeks.
Orientation will be held at our venue at NG CHURCH DE EIKE, crn Pionier and Langenhoven street. Orientation is from 18:30 till 19:30 first evening, this is COMPULSORY.
PLEASE NOTE: MISSING ORIENTATION without a valid reason WILL DISQUALIFY YOU.
There is plenty of parking for everyone! We have Special Events now and then which we Encourage you to attend as these can give you Valuable Information to help You on your Health Journey.
We change it up each session with a different Fitcamp Instructor when we can.., so NO boring same-old-same-old!
Everyone is welcome, so invite your Bestie, Neighbours, Family or Work Colleagues… But they Must PLEASE First Complete this Pre-Registration form and attend Orientation to take part. So once you registered please feel free to send them the link so that they can also register.
Name*
First Name Last Name
Date of Birth*
Month Day Year
Contact Number*
Whatsapp Number if different from contact number.
E-mail*
Gender*
Male Female
Where did you hear about the Fitcamp Challenge*
Facebook Flyer Family or Friend referred me
If a friend, what is their name?
Have you attended Fitcamp before*
Yes No
If Yes who was your Coach
In order for us to find out what your Goals are, please specify below what you are expecting from this challenge, and why?
How fit do you think you are?*
Couch Potato...Standing up is optional I'm moderately fit...I think Total Fitness Buff! Where are my dumbells?
I want to improve in the following areas:*
I'd like to lose overall weight I need to lose body fat to show off my muscles I want to build lean muscles I just want to get fit I'd like to lose weight, lose fat, gain muscle and get fit
Are you currently on any Nutritional or Meal Replacement programme which you intend to use in Conjuction with this 4-week challenge?*
None USN Evox Weigh Less Herbalife Other
Medical Conditions*
Do you have any medical conditions or injuries that your Boot Camp Coach needs to be made aware of?
If yes, please specify:
Disclaimer:
It is advisesd that you consult your Doctor before participating in any strenious exercises
Kuilsriver Fitcamp will Not be held Liable for Any Injuries that may be Incurred During Exercise Sessions!
Please list 3 friends or family who you think would benefit from joining you for this 4-week challenge.
Please list Name and contact number.
Eg: Natasha Witte 076 176 9915
Friend 1
Contact Number
Friend 2
Contact Number
Friend 3
Contact Number
Would you be interested in*
Beach Workout Hikes Both No, Thank You
If other, please specify:
NOW THAT THE HARD WORK IS DONE
CLICK THE LINK BELOW TO REGISTER
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Free 4 Week Fitcamp Challenge

Coach Natasha