Shelby Trained

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Thanks,
The Shelby Trained Team
First Name
 
Last Name
 
Email Address
Phone Number
Address
Gender
Birth Date
Parent/Guardian First and Last Name
Client Height
Client Weight (lbs)
Sex
Parent/Guardian Cell
Parent/Guardian Email
Emergency Contact Name
Emergency Contact Number
Doctor(s) Name and Address
Doctor(s) Number(s)
Date of Last Physical
Current Medication and/or Supplements
Allergies (medical or otherwise)
Previous Illnesses or Surgeries (include dates)
Specific goal(s) for the next month?
Specific goal(s) for the next 6-months to 1 year?