Fitness Intake form

MEKENIFICENT FITNESS INTAKE

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Please select which program you are signing up for. Registration Fee: N$80.00

Bootcamp – N$500.00(1 Month, Solo or Group)

Bootcamp – N$1,400.00 (3 Months Package)

Personal Training at Studio – N$2,000.00 (Includes monthly spa vouchers)

Personal Training at Home – N$3,500.00

Kapunda Must Fall Challenge – N$600.00 (Weekly eating guide & progress monitoring)

Kids Fitness – N$350.00

Day Pass – N$150.00

Saturday Fitness Games – N$150.00

Our training facility operates during the following hours:

Monday – Friday: 5:00am – 7:00pm
Saturday: 5:00am – 7:00pm
Sunday: 11:00am – 7:00pm

Name & Surname*

Birth Date

Phone Number

Email address

Health & Lifestyle

Please state if you have any other health concerns*

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