CompanyNew Client Application We only have a limited number of spots available so don't delay. Submit your application TODAY before all of our spots are filled. If you qualify we will be in touch with you soon. First Name * Last Name * Email Address * Phone Number Date of Birth * Gender * Male Female Other Height * Weight * Do You Smoke? * No Yes Sometimes Are You Diabetic? * No Yes How Active Are You Currently? * Do You Have Any Current or Past Orthopedic Injuries? * No Yes Do You Have Any Previous Exercise Experience? * No Yes Do You Have Any Nutrition Restrictions? * No Yes I'm Interested In: * One on One – Elite Training Online Coaching Pre & Postnatal Exercise / Training New Moms What Are Your Short Term Goals? * What Are Your Long Term Goals? * What Is Your Biggest Challenge? * What Fitness Equipment Do You Have Access To? * How Many Times Per Week Can You Commit To Training? * 1 2 3 4 5 6 7 Why Did You Choose To Be Part Of Team Rangell Fitness? * How Did You Hear About Us? * Rate Your Commitment From 1-10. * 0 1 = I just want to sit on the couch with a machine zapping my abs.10 = I'll eat broccoli and chicken all day if that's what it takes. When Are You Ready To Start ? * TODAY! Let's do this! Next week or next month. I'm not ready to change yet. I Have A Travel Addiction! What's The Best Place You Have Been And Why Should I Add It To My Bucket List? * Terms and Conditions I Agree To The Terms And Conditions.Let's Do This!