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    INTAKE FORM

    This intake form is to help us get a good grasp on your motivations, past and recent activity and training experience, and your expectations from participating in our programs.  It is a general intake form, so though you may not feel as though all these questions are relevant to what you're looking for (e.g. private training, VS. classes VS. Coaching), please fill out the form in its entirety.  Thanks!
    Contact Information

    Personal Information

    Medical History

    TRAINING GOALS & EXPECTATIONS

    The right fit
    The Nanaimo Kettlebell Club promotes health & fitness through community - i.e. making friends, taking ownership, setting goals, being accountable.  We do not promote quick fixes, only self-determination.  We want to give you the tools to reach long-term success.

    Nutritional Considerations
    If any of your 5 goals include: "lose weight", "put on size", "improve body shape and composition", or "improve eating habits", or even "Develop Confidence in Myself", and you have not taken positive action to adjust your food behaviours or environment, then you should consider personalized coaching to help you get the ball rolling.
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    Inquire about personalized coaching with Solly
    This is important for several reasons: negative side effects that may endanger you or others during class; some supplement ingredients are on the WADA banned list; some supplements are a waste of money and I can tell you which ones and why
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11 Giggleswick Pl
Nanaimo, BC
V9S 2V7


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