Sign Up Free | Personal Training

First name

Last name

Email

Phone

Birthday

Month

Day

Year

How did you find us?

What MaxFit services are you interested in learning about?

Do you have a member of our wellness team in mind?

Life or Health Goals: What are 1-3 health or life goals that you would like to achieve?

What type of Fitness Professional would you best work with?

Which days would you prefer to schedule sessions?

What times work best for your schedule?

What other activities are you currently involved in?

Do you have any pre-existing or current health conditions, injuries, or other relevant medical information?

If so, could you please provide a summary of what needs attention & date of Injury/Diagnosis

Any other practitioners you are working with:

Primary Physician

Physical Therapy

Acupuncture

Chiropractor

Preferred method of communication:

Phone

Email

Fill out this intake form to get matched with a coach.