Level 1 Joining Form

How much Confident are You To Kickstart your Fitness Journey and Reaching Your Ultimate Fitness Goal?

Your Email *

Phone Number *

First Name *

Last Name

Pin Code *

Your Location (City) *

State *

Country *

Date of Birth *

Gender *
FemaleMale

Your Age *

Your Instagram Handle(We will give you a shoutout on our social media.)

Please Select As Applicable *
HomemakerWorking WomenStudentOther

Please choose your Profession *
Entrepreneur - Running Family Business, Own BusinessWorking in Corporate JobTrainer, Coach, Counsellor, Healer, TeacherHome Maker - Want to start a Career SoonFitness Coach, Dietician, Health Expert, Doctor, PhysiotherapistOther

From Where you got to Know about Fitness FunDa? *
FacebookYoutubeReference (Family, Friend, Relative etc)Instagram

Choose your Subscription *
Silver One monthGold Three MonthsSix months

Choose Your Most Suitable Timing for Workout *
6 AM8 AM11 AM5 PM7:30 PM

Your Hobby & Interests *

Your Height *

Current Weight *

Target Weight (90 Days) *

Please Mention Your Inches (Chest, Belly, Hips, Arms) *

Please select Your Main Problem Area *
Over WeightBelly FatUpper Body HeavyLower Body HeavyFace RelatedHealth issues

Please select Your other Concern Areas *
Over WeightExcess Belly FatUpper Body HeavyLower Body HeavyFace Glow Related IssuePain Related Health Issue (Knee Pain, Back Pain etc)Disease Related Health Issue (Diabetes, Thyroid, PCOD etc)

Choose the Personal Milestone you want to Achieve in Near Future (Max 2)
Getting Fit For My MarriageGetting Back in Shape For My AnniversaryLooking Slim For A Family FunctionI Just Want to Be Fit and Look My Best AlwaysGetting Fit into my Favourite DressGetting Appreciation from Family and Friends regarding my Fitness and looks

Would you like to upgrade Your Membership to our Assured Result Premium Program called "Super Women Club" soon?(Note - Price of Super women club is 75k Per Year)
Yes surely, i am always ready to Invest for My Health, Fitness and PersonalityI would like to know more details about Super Women Club
Your Joining Date *

Medication (If you are Taking any Kind Of medication Please Mention it.) *

Have you Gone Through any Surgery in the past 6 months *
YesNo

Medical History *
Heart ConditionDiabetesChest painDizzy SpellsBack pain or joint painAshtmaNo Medical History

Did You Get your Full Body Health Check up done in the last 6 months? *
YesNo
Please Note
1. Fees is Non Refundable and Your Subscription Can't be extended if you miss classes.
2. Fitness FunDa will not be Responsible for any Injury happened during the session or after *
YesNo