Viridian Session Completed - Viridian Health and Fitness

This form confirms that you have completed your session with James Kerby as of the date of the form.

Client Registration Form v1 Sessions logging.

1 Contact Details
Name*
First Last
Please enter your name so we can address our responses correctly
Email*
Enter Email Confirm Email

we ask you to check that it has been entered correctly so we can send your acknowledgement and reply swiftly and accurately.
Date of My session*
DD dash MM dash YYYY

Date of Session with James.
Session No*
Please enter a number from 1 to 36.
Enter the session number just completed.
Of Total Sessions*
Please enter a number from 1 to 36.
How many Sessions in total so for example Session 11 of 12 etc.
Consent to Privacy Policy*
I agree to the privacy policy.
I agree to the Privacy Policy an that Viridian and James Kerby may store this information in order to track and record the PT Sessions I have had with James.
Confirm Session Received*
I confirm Session Completed as of Date Signed
Confirm I have completed 1 session with James as of Today's Date and as signed on this form.
Name
This field is for validation purposes and should be left unchanged.

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1 Contact Details