Fitness Intake form

Please select which program you are signing up for.

Personal training at home (N$3,500.00)

Personal training at center (N$1,500.00)

Kapunda must fall challenge 3 months plus free Fitness & Health book(N$1, 350.00)

Bootcamp (3 months special N$750.00)

Kapunda must fall challenge (N$450.00)

Normal Membership (N$350.00)

Bootcamp (N$350.00)

Kids fitness (N$250.00)

Saturday abs class (N$100.00 plus free smoothie)

Our training facility is open throughout the day. Below are times when a trainer is available. Please select the best times you can exercise with our trainers.

5:00am

6:00am

7:00am

8:00am

5:30pm

Seeing as we do not bind you to a contract, it is your responsibility to ensure that each month you send the proof of payment to our office info@mekenificent.com or 0814417900 / 0813343382. You can PayToday, Pay2cell 0814417900 OR into the account: MEKENIFICENT WELLNESS CC FNB Acc #: 62245822483 Branch: MAERUA MALL Branch code. 282273 Ref: your name or number.

I {clientNarne}, hereby acknowledge that the information I've given above is complete and accurate. I understand all the risks and I accept all the responsibility for any undesired situations during training. I am informed that my information in this tom, will be kept confidential. The fitness center has informed me that I am the only responsible party both for all the injuries during the fitness program and incorrect information. I release and discharge the fitness center trainers, administration and workers from any disclosure of my personal information in this Fitness Client Intake Form. If any of my health, lifestyle or personal information/situation that may prevent my training is changed. I guarantee that I will inform the fitness center authorities immediately.

MEKENIFICENT FITNESS INTAKE

Health & Lifestyle

How often can you exercise per week?

How many months will you sign up with us?

What are your goals for training?

Please select the best days you can exercise.

PAYMENT POLICY

Release and acknowledgement