8-Week Intake Form

Name *

First

Last

Email *

Social Media Handles

Height *

Current Weight *

Age *

Current Diet *

Exercise Experience *

Beginner - Brand new to fitness
Moderate - Has experience in exercise but may not know all exercise names and proper form.
Advanced - Has experience, understands movement names and proper form

Injuries, Restrictions, & Health Conditions - Please share as much as possible. *

Medications *

Allergies *

Dislikes to Foods *

Additional Information

Before Photos *

Click or drag files to this area to upload. You can upload up to 3 files.

Please take 3 photos, one front, one side, and one back in a swimsuit, sports bra, underwear. etc. Whatever you wear in these photos will be also worn for each check-in in order to show progress. Ensure you are in good lighting, and your body is visible. Please note that these photos are strictly confidential will never be shared unless you permit. In the photos please hold a piece of paper with the current date, and ensure this paper is visible in all three photos.

Terms & Conditions *

I Agree
I Do Not Agree

I confirm that the above information is true. I understand that I am voluntarily starting a program that will include resistance, strength, and cardiovascular training along with a personalized meal plan created solely for me and me only. In the purchase of my entry to this challenge, I hereby agree the exclusion of liability to SweatNET Seattle and Ally Chargualaf, the company founders, and staff with an association to SweatNET Seattle and Ally Chargualaf and this challenge (whether intended or not) or any other individuals, from all claims for injuries and/or damage however caused (whether fatal or otherwise) I may suffer out of the participation in this challenge. I also release and forever discharge the above groups from all actions, suits, proceedings, claims, demands, losses, damages, penalties and fines however arising (including negligence). I intend partaking in this challenge entirely at my own risk.

8-Week Intake Form

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