New Clients

Get Started with CP PT

Please complete the form below to the best of your ability to help us get you started

Contact Us

Full Name

Phone Number

Preferred day

Preferred Time

How old are you?

What is your height (in cm)?

What is your current weight (in kg)?

What do you do for work?

What physical activity do you currently do?

How many days per week will you be training?

Are there any exercises that you particularly like or dislike?

What are your goals?

Please list any current injuries, illnesses or medical conditions:

Please list any current supplements, including dosage and frequency:

Opt-In

By checking, you understand that all CP PT sessions are conducted at World Gym Cairns. If you are not already a member, the casual fee will be $10 in addition to my coaching fee (usually $20).

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