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Fit 4 Life
Application Form
Name
Email
Phone Number
Date of Birth
Height (cm)
Weight (kg)
Occupation
Current number of hours spent exercising per week
I am willing and able to participate in all aspects of the program, including:
two gym sessions per week
food diary (to be completed each day)
nutritionist consultations to modify diet
fasting (limited calorie intake for 12-24 hours) on specified days
one yoga/mindfulness session per week
wearing a fitness tracker watch to record activity levels whilst at home and work
Submit Application
