Registration

NOTE: EverFit will never share your information. All contact and personal details are used only to create personal profile for our records and will be kept confidential.

*Required fields.

Online Registration

*Your Name:
Address:
City:
State:
Zip:
*Date of Birth (mm/dd/yy):
*Daytime Phone:
*Evening Phone:
*Email:
*Emergency Contact Name:
*Emergency Contact Phone:

Personal Assessment

*I rate my current fitness level: (1=low, 10=high)
How did you hear about us?:
*My fitness goal is:

Medical History

*Do you have diabetes Adult or Juvenille?
*Have you ever been found to be anemic?
*Do you have high blood pressure?
*Do you have or have you ever had the following diseases?
*Do you have asthma?
*Have you ever had a severe neck or back injury?
*Have you had a broken bone or fracture in the past two years?
*Do you have back pain?
*Have you had knee pain in the past two years that has disabled you for longer than a week?
*Do you have other physical conditions which cause pain?
If yes, please describe
*What are three specific goals you have for the next three months?

Terms of Participation and Waiver

*I have read and agree with the Fit4Him, LLC DBA Ever FIT Terms of Participation
*I have read and accept the Fit4Him, LLC DBA Ever FIT Contract Agreement and Release of Liability

If you prefer to complete the registration form by hand, please download the document below – print, complete and bring with you to your first class.
Click to download