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Client Registrations 1
James Kerby
Name
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Email
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Age if known
Client's Age
Client interests profile and motivations
*
Weight Loss
Fitness
Key Events (life and fitness)
Strength and Conditioning
Coming back from Injury
Custom Diets
Nutrition General
Other Please speify below
Other interests profile and motivations goals
Additional to checklist above
Type of Sessions
*
Peak Time
Joint Sessions
Off-Peak
40 Mins
Intro Package 15% off 12 Sessions
Enter type of sessions booked
No of Sessions Booked this Block
*
Please enter a number greater than or equal to
1
.
Enter the number of sessions they havebooked.
No of Sessions per week
*
Estimated average no of training sessions a week,
Start Date of this Booking Block
*
DD dash MM dash YYYY
Date the client started the current Booking Block.
Amount Paid Total
*
Amount Paid for this Block of Sessions
Amount Paid per session
*
Method of Payment
*
Bank BACS Transfer
Cash
Cheque
Direct Debit
Other (please specify)
Method the client currently pays by
Phone
*
Please let us know how you prefer to be contacted and if by phone the best number to call you on.
Opt-In for Articles and Newsletter
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How did you get the client
*
Personal Referral Recommendation
Web Search Google
Facebook
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LinkedIn
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Google+
Other
Not sure where
Hampshire Chronicle
Winchester Observer
Hampshire Life
Please let us know where you heard about us or found us first.
Additional notes (if required.)
Phone
This field is for validation purposes and should be left unchanged.
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Amanda Moore INW
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