First Lady Fitness

Registration Form

Ready to start your transformation? Fill out the form below to join the First Lady Fitness movement and take the first step toward your strongest self

Important:

Personal Information

First Name

Last Name

Date of Birth

Phone Number

Address

City/Town

Fitness Programs
(Please check the program(s) you’re registering for):

Consultation Call ($300 TTD) House Call 1 on 1 ($4000 TTD) Outdoor / Gym Personal Training ($3500 TTD) Online Personal Training, 1 on 1 ($2500 TTD) Outdoor Group Training ($400 TTD) Online Group Training ( 32 sessions + Recording 6am) ($350 TTD) VIP Private Support Package (ADD-ON) ($150) Corporate Training

Health Information

Current Weight (lbs / kg)

Current Height (ft / cm)

Do you have any Allergies?

Allergies

Any injuries or medical conditions?

Injuries or Medical Conditions

Fitness Goals
(What are your primary goals? Please check all that apply):

If Other, please specify

Emergency Contact Information

Name of Emergency Contact

Relationship to You

Phone Number

Terms and Conditions and Liability Waiver Agreement

I agree to the Terms and Conditions and Liability Waiver (Click to read in a New Window)

First Lady Fitness

Weight Loss Management Form

HIGHER HEIGHTS NEW LEVEL

Welcome, You’ve reached this far. You are worth it. This is where you take your power back!!! Change starts with you.

Every question below is designed to help us understand you fully, serve you intentionally, and guide you toward the right program, tools, and support system for sustainable results.

Please answer honestly. There are no right or wrong answers only clarity.