Vibe F.I.T. Intro Session

This is the first step to Creating your Blueprint, the VIBE F.I.T. way. Please fill out the below intake form and a trainer will be in touch to schedule your free consultation. If you have a specific question, you can email your club at [email protected], [email protected] or [email protected]

First Name*

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Last Name*

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Email*

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Phone Number*

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What Languages do you speak*

What location do you train at*

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What kind of appointment would you like to request*

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Gender *

Male
Female
Other
Prefer Not to Answer

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Training Goals (Check All that Apply) *

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Please select the days/times that work best to meet with an available trainer? Kindly note that your appointment is not confirmed until someone from the PT department contacts you to confirm their availability

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Are you interested in working with a specific trainer? If so, write their name below
- LIC Coaches
- BQE Coaches
- Greenpoint Coaches

Medical Questionnaire

Please complete the below so your trainer can have knowledge of any medical conditions. If you answer "Yes" to any of these questions, we recommend that you see a doctor before you begin your exercise program

Select your current medical conditions or prescriptions*

a heart condition and in which you should only do physical activity recommended by a doctor
currently prescribed drugs (for example water pills) for a blood pressure or heart condition
Are you over 65 and not accustomed to consistent exercise
Are you diabetic
none of the above
Other

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If you have any medical conditions, muscle or joint paint, not mentioned above or would like to detail a condition prior to training, please provide more information below:

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Name*

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Phone*

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Email*

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ZIP Code*

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