New Client Form Please fill this in: Name(required) Age(required) Address(required) Phone Number Email Doyou have a bone, joint, or other health problem that causes you pain or limitation that must be addressed before embarking on an exercise programme (i.e. diabetes, osteoporosis, high or low blood pressure, high cholesterol, arthritis, anorexia or bulimia, epilepsy, respiratory ailments, back problems etc.?) Yes No If yes, please give details Submit Form goes here
