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Hybrid Strength Application

A Bit About You...

First Name

Last Name

Email

Phone

Birthday

Gender

Do you want to subscribe to Fit Tips with Katie? (Weekly emails full of training, racing, recovery, & mindset tips!)

Do you want to subscribe to Fit Tips with Katie? (Weekly emails full of training, racing, recovery, & mindset tips!)
A
B

Are You Ready to Train?

Do you currently have (or have history of) medical diseases, injuries, or other physical conditions?

Do you have a history of heart disease or stroke?

Do you have a history of heart disease or stroke?
A
B

Do you experience chest pain during daily activities or during physical activity?

Do you experience chest pain during daily activities or during physical activity?
A
B

Do you lose your balance due to dizziness or have you lost consciousness in the past year?

Do you lose your balance due to dizziness or have you lost consciousness in the past year?
A
B

Do you have a bone, joint, muscle, or any other medical conditions that could be aggravated by physical activity?

Do you have a bone, joint, muscle, or any other medical conditions that could be aggravated by physical activity?
A
B

Are you currently taking any prescription medications for blood pressure or a heart condition?

Are you currently taking any prescription medications for blood pressure or a heart condition?
A
B

Are you pregnant or have you given birth within the past 9 months?

Are you pregnant or have you given birth within the past 9 months?
A
B

Have you been advised by a healthcare professional to limit your physical activity?

Have you been advised by a healthcare professional to limit your physical activity?
A
B

Do you smoke?

Do you smoke?
A
B
I confirm that where any medical condition, discomfort or injury which may be affected by physical activity applies or becomes applicable at any time when I am participating in a coaching session, programmed activity or gym session, I am responsible for checking with my doctor to ensure I am able to participate in this activity.
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