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Last Name
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Email
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Phone
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What is your CrossFit/Fitness background?
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How did you hear about PUSH511 Fitness? (Google, FB/IG, Member Referral, etc.)
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Do you have any injuries or physical limitations?
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How often do you workout per week?
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What is your goal in attending a class?
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What is your preferred day and time to attend a class?
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