VIRTUAL "FIGHTING FIT" PROGRAM BOXER PROFILE PART 2

 

DATE:________________________________________________________

 

Name: ________________________________     *Age:   ___________________________

DATE OF BIRTH (D/M/Y):__________             *(Min. age requirement is 16 yrs)

Address:   ___________________    City:  ____________________

Postal code:  ________________    Province:  ________________   

E-mail:  _____________________    Phone: (H#) _______________ Occupation:  _________________           (W#) _______________                                                                       

  1. ARE YOU YOU A PHOENIX BOXING ROOKIE? YES  NO

 

  1. IF YOU A PHOENIX BOXING VET – WHAT LEVEL? 1 2  3  4  5   6                 

 

 

 

 

3.  Are you currently physically active?           YES         *NO

 

*Reasons for Inactivity:  _______________________________________________________

(*If NO – please go to QUESTION 8, and read WAIVER very carefully

to realize/accept what you have enrolled in. PHOENIX BOXING training is tough!)

 

  1. WOMEN ONLY: Are you pregnant? *YES NO

(*If YES - Please contact PHOENIX BOXING ASAP to withdraw from your course. You will receive a full refund or credit). NO PREGNANT ROOKIES - OUR TRAINING IS TOO INTENSE FOR PREGRNANT WOMEN WHO HAVE NO PREVIOUS EXPERIENCE WITH OUR GYM & TRAINING! WE LOOK FORWARD TO TRAINING & COACHING YOU POST PARTUM.

 

4.  What type of athletics/fitness training do you currently engage in?  _______________________________________

_____________________________________________________________   

                                                                                                                   

5. How frequently do you engage in the above training? 

 

# of times per day: _____________________________________________________    

# of times per week:  ___________________________________________________

 

 

6.How long have you been training this way?

 

# of weeks: _____________________________________________________________     

# of months: ____________________________________________________________          

 

# of years: _____________________________________________________________

 

 

 

 

7. How would you rate the intensity of your training?

  □  light               □  moderate          □  vigorous        

 i.e.: walking         i.e.: jogging        i.e.: sprinting             

8.  Why are you interested in PHOENIX Boxing Courses?

□  Learn New Skills                   □  Stress Management

□  Physical Conditioning (Results!)   □  Satisfaction & Enjoyment

□  Challenge & Intensity              □  Cross-Training for Sport
□  Structure & Commitment             □  Other (specify):_________

 

9. How did you find out about PB’s Virtual Fighting Fit Program? 

□ PB Website           □ Direct mail brochure/coupon

□ Google search       □ PB banners outside gym  

□ Youtube             □ Word of Mouth(specify): __________________

□ Facebook share      □ PB outdoor posters _____________

□ Other (specify): _______________________________________________

    

10. What GOALS would you like to achieve with Phoenix Boxing?

 

□  Muscle toning                 □  Increase strength            

□  Wellness                      □  Increase cardio

□  Stress Management             □  Discipline/Dedication

□  Weight Management            □  Self-defense

□  Cross-Training for Sport (specify):____________________

□  Other (specify):  _____________________________________

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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