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Bekin Training Club Intake Form

The Bekin Training Club is a weekly cadence of runs and training sessions designed to help you build physical momentum. This is the perfect environment to experience the Bekin ethos, meet our practitioners, and lay the groundwork for a longer, stronger life. If you’re ready to elevate your intensity and train alongside people who push the pace, fill out this form and we'll be in touch!

What is your name?

What is your email address?

What is your phone number?

Note: we will use this number to add you to the Bekin Health community on WhatsApp.

What are your socials?

How many days per week do you train currently?

Why are you interested in signing up for Bekin’s Small Group Training Club

Do you have any current or past injuries that our Certified Bekin Practitioners should be aware of?

How did you find out about Bekin’s Small Group Training Club?

Terms and Conditions

Physical Activity & Liability

I acknowledge that participation in the Bekin Small Group Training Club or Longevity Lab assessments involves strenuous physical activity, including but not limited to the Bekin 5P Methodology (Prep, Prime, Pattern, Perform, Pacify). I understand that these programs are designed to optimize biomarkers like VO₂ max and metabolic health through high-intensity protocols. I confirm that I have accurately disclosed my health history, including any injuries or chronic conditions, and that I am participating at my own risk. I release Bekin Health Inc. and its Certified Bekin Practitioners from any liability for injuries arising from participation in these training or diagnostic services. I understand that the programming I am participating in does not replace professional medical advice for acute care.

Media Release

Bekin Health Inc. is a social enterprise dedicated to redefining human flourishing. To support our mission of scaling longevity education, I provide my consent for Bekin Health Inc. to capture and use my image, voice, and likeness in high-quality content production, including social media, educational modules, and marketing materials. I understand this documentation occurs during Signature Events, Masterminds, and Training Clubs to build brand authority and community trust. I waive any right to royalties or compensation for the use of this media, which remains the property of Bekin Health Inc. for the purpose of advancing the Longevity Operating System.

Newsletter Opt-in

I would like to be the first to know about any new events, product launches, company news, and other content deemed valuable by the Bekin Health Inc. team.