Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email Address
*
Phone
*
(###)
###
####
DOB
*
MM
DD
YYYY
Emergency Contact
*
Emergency Contact Phone
*
Assess your health needs by checking the box if 'Yes'
History - Have you ever had?
Symptoms - Do you experience or have you experienced?:
Are you?:
Do you have?:
Do you have any injury concerns or ongoing illnesses that might affect your TEAM Training experience? If yes, please tell me about them.
Do you take prescription medications, pills, tablets or supplements? If yes, please tell me about them.
What is your individual goal for The Team Challenge? (Make it a measurable goal e.g. Lose 5kg, Do 10 Push Ups)
*
What else would you like to achieve in your 8 weeks? (Everyone has more than one goal, what else?)
*
What fitness contribution will you bring for your team, to take the WIN?
How committed are you to achieving these goals?
*
1 - Not committed at all
2
3
4 - If it happens it happens
5
6
7 - Commited, bu may be barriers
8
9
10 - I'll do what ever it takes
How do you rate your eating habits?
*
1 - I start with a bottle of coke
2
3
4 - Moderate, but I snack a fair bit
5
6
7 - Healthy, but I enjoy a treat
8
9
10 - I'm a health machine!
What do you need to change with your eating habits?
How many days a week do you currently exercise?
*
1
1-2
2-3
3-4
4-5
5-6
6+
How Hard Do You Like To Train?
*
1 - I don't want to break a nail
2
3
4 - I could go for a light sweat
5
6
7 - What's the next exercise?
8
9
10 - I'm a beast!
Do you have any questions?
Sizing Information
*
SHORTS SIZING
Size
S M L XL 2XL 3XL
Half Waist Relaxed (cm)
35 37.5 40 42.5 45 49
LEGGINGS SIZING
3/4 Length Leggings
Size
XXS XS S M L XL 2XL
Half Waist Relaxed (cm)
30.5 33.5 36.5 37 39.5 42.5 48.5
Full Length Leggings
Size
XXS XS S M L XL 2XL
Half Waist Relaxed (cm)
27.5 30.5 33.5 36.5 39.5 42.5 48.5
Would You Like Shorts, 3/4 Length Leggings, or Full Length Leggings?
What Size Would You Like?
*
Shorts Size S
Shorts Size M
Shorts Size L
Shorts Size XL
Shorts Size 2XL
Shorts Size 3XL
3/4 Leggings Size XXS
3/4 Leggings Size XS
3/4 Leggings Size S
3/4 Leggings Size M
3/4 Leggings Size L
3/4 Leggings Size XL
3/4 Leggings Size 2XL
Full Leggings Size XXS
Full Leggings Size XS
Full Leggings Size S
Full Leggings Size M
Full Leggings Size L
Full Leggings Size XL
Full Leggings Size 2XL
Please Select One
*
Name
*
First Name
Last Name
