First Name* Last Name* Your Email* Phone Number* Address Street* City* Postal Code* Date of Birth (YYYY-MM-DD) Age* Gender* MaleFemale Height 45601234567891011 How did you hear about us? Current Weight (lbs)* Dream Weight (lbs) Other Goals? What are you biggest struggles and how can we help you overcome these? What other diets have you been on in the past, did you have success with them and why/why not? How often do you eat out? What do you do for work? Do you spend more than 50% of your time sedentary? Are you currently on a nutrition plan, what have you experienced before and have you heard about flexible dieting with tracking your calories or macronutrients? If so, what are/were your macros and how long ago? Do you crave more protein, carbs or fats? Have you ever been diagnosed with an eating disorder? YesNo Do you have any food intolerance or allergies, if so please list them? Do you have any health or medical conditions? How many hours sleep do you get a night on average? 45678910 Are you currently taking any supplements (multi-vitamin, vitamin C etc) If so, how much & how often? How long have you been training? NA0-6 months6-12 months1-2 years3+ years What is your current training program like, how long have you been following this? Do you have any injuries or exercises that your body doesn't agree with? How many days can you commit to a strength training program? (be realistic, we suggest 3-4). 23456 Are you training out of a gym, if so which gym? Or are you training at home? Are you currently doing cardio, how much and how often? Thank you. Please wait for the next set of instructions. Consent & Liability Waiver I, hereby affirm that I am entering a course or instruction in physical fitness and/or performance training and/or nutritional consultation. By enrolling in this course I certify that I am cognizant of all the inherent dangers of physical fitness, nutrition and diet changes, and the basic safety rules for activities connected herewith. I understand and agree that neither Kings Fitness Ltd., nor its owners, operators, agents, or instructors, may be held liable in any way for any occurrence with my physical fitness and performance or nutrition/diet changes, which may result in injury, death or damages to me or my family, heirs or assignees. I further acknowledge and forever release Kings Fitness Ltd. in connection directly or indirectly with my physical fitness training and nutrition/diet changes as a result Kings Fitness Ltd. own negligence, which may result in injury, death or damages to me or my family, heirs or assignees. In consideration of being allowed to enrol in this course I hereby personally assume all risk connected with the course, and I further release the instructors, program, agents and operators, included but not limited to the persons mentioned for any injury or damage which may be incurred to me while I am enrolled in the fitness or performance course and nutrition/diet program, including all risks connected therewith, whether foreseen or unforeseen, and further to save and hold harmless the program and persons from any claim by me, or my family or assignees, arising out of my enrolment and participation in this course. I further state that I am of lawful age and legally competent to sign the aforementioned release; that I understand that the terms herein is contractual and not a mere recital; and that I have signed this document as my own free act. I agree to release all photos and/or videos taken to be used as promotional materials or on social media by Kings Fitness Ltd. I have informed myself of the contents of this aforementioned and release by reading it before I sign in. I have been advised to submit at my own expense and time, to a medical examination to ensure myself, and assume my own responsibility of physical fitness and capability to perform under the normal conditions of the fitness program and/or nutrition/diet program, and am physically fit as tested by medical examination. I also understand that the owner reserved the right of membership. I agree that I am purchasing a consulting program, which required skill and assessment of professional staff. I understand that customized programming is being created solely for me. Due to proprietary and intellectual property involved, refunds will not be issues. IN WITNESS WHEREOF, I HAVE EXECUTED THIS AFOREMENTIONED AND RELEASE ON (YYYY-MM-DD). Thank you for your time, we will be in contact with you shortly.