NEW CLIENT FORM (Adults)
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First and Last Name *
Cell Phone Number *
Email address *
Street Address, City and State *
Shoe Size US *
Weight (please make sure this is accurate there are different models for weight capacity and strength) *
Have you ever jumped in rebound boots before? *
Height Feet & Inches(Example  5' 4 ) *
Date of Birth  *
MM
/
DD
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YYYY
Emergency Contact *
Please list any medical conditions ? Any loss of hearing or visual impaired?  Recent surgeries or injuries within the past 4-8 weeks? *
How did you find out about us? TV, FaceBook, Instagram or Friend please share your friends name.  *
Are you attending a class or an event?  Please let us know in studio or on location event or fundraiser . *
Do you have any questions about a class?   *
Did you already sign up for a class? If you didn't sign up yet BOOK here  www.the-fithouse.com . 
1. Click Class schedule and BOOK
2. Click Create an account if you didn't yet. 
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