Digital Barbell BUILT

By filling out and signing this questionnaire you are agreeing to release Jonathan & Blakley Fletcher from any and all liability resulting from the use of their services. Jonathan & Blakley Fletcher are not physicians and their services do not constitute medical advice, but rather advice on overall fitness and well-being. If you have a medical condition or require medication for an illness, you should consult with a physician. Jonathan & Blakley are not qualified to diagnose or treat illness and/or disease. By signing this questionnaire you are also agreeing to provide accurate information regarding all previous medical conditions and medications. No refunds given once registered.

Name

First Name

Last Name

Email Address

What's your Instagram username if you have one?

What are your hobbies outside of exercise?

What size T Shirt do you wear?

Cell

Date of birth

Address

Height

Current Weight

Waist 1" above navel

Chest (largest part)

Biceps (arm bent unflexed)

Thighs (largest part)

Is there any medical reason you cannot train with weights?

What, if any, previous injuries have you had?

What, if any, current injuries do you have?

When was the last time you exercised?

Do you know your estimated 1rep max Back Squat?

Do you know your estimated 1rep max Bench Press?

Do you know your estimated 1rep max Barbell Overhead Press?

Do you know your estimated 1rep max Deadlift?

Are you allergic to anything?

Are you committed to this process of getting stronger?

Will you be consistent with your training and communication with your coaches?

Digital Barbell BUILT

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