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* 1. Applicants Name

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* 2. Gender

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* 3. Ethnicity

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* 4. Do you have any injuries that need to be considered?

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* 5. Have you worked out in a gym environment before?

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* 6. How fit are you?

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* 7. Medical

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* 8. Emergency Contact 1

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* 9. I give permission to be photographed. I understand photos and videos may be used on future YMCA promotional material.

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* 10. What do you want to achieve from this programme?

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* 11. How did you find out about us?

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