Consultation Form | Kung Fu Lite

Consultation Form

To ensure our program fits your needs and abilities please complete the form details below.
All information is private and confidental

First Name

Last Name

Phone

Select your age group

Age 35-50

Age 51-60

Age 61-75

Age 76+

What outcomes are you hoping to achive?

General excercise and flexibility

Increase muscle strength and balance

Develop a balance of body and mind

Increase concentration and self discipline

Tell us about any health conditions that may be impacted by an excercise program

I consent to Kung Fu Lite accepting my personal information to derive a excercise program geared towards my goals and physical abilities. All submissions are confidential and will not be shared or sold to a third party

Thank you! We will reach out shortly to complete your excercise consultation.

Consultation Form To ensure our program fits your needs and abilities please complete the form details below. All information is private and confidental

Consultation Form

To ensure our program fits your needs and abilities please complete the form details below.
All information is private and confidental