Name: *

Phone: *

Email: *

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DOB & Age: *

What level of experience do you have within the gym? Beginner - You have no experience within a gym setting/Intermediate - You attend the gym and either do some of your own training, attend classes or do a bit of cardio/Advanced - You have had previous experience within the gym and a good level of knowledge when it comes to training.: *

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What are you hoping to achieve from Lift with Lauren? (Please add as much information as possible so I can find the best approach for you): *

Availability - Please give as many options as possible as I am limited on evening spaces:

Best contact option:

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Any other information that you feel I should know about? Any injuries/medical issues etc?:

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