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Welcome:  USA Map Kids Fitness:  Texas Kids Fitness:  Austin Kids Fitness Request Form:

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Medical History

   
Has a physician ever advised your child from exercise?
 
NO    YES, please explain:
Kid's Gender:
 
Male
Female
.
Does your child have any injuries?

 
NO   YES, please explain:
How do you rate your child over-all health?
Kid's age

Fitness History

   
Has your child ever worked out with a personal trainer before?
 
NO     YES, Name of facility:
For how long?
Is your child  training for a specific event or sport event?
 
NO    YES, Describe:
What are the most convenient days and times for your child to meet with a trainer? (You may select several by just  CONTROL-CLICK)
What days and times is your child not available to meet with a personal trainer?
I would like my child  to meet with my trainer:
          
 

Parent Information

     
  Parent's Name:

Kid's name:

State   City    
 
  E-mail:
  Phone # to Contact You
  Best Time to call