CONTACT ME | FATIMA ASILI

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Please fill out the following form to begin your fitness journey!

First Name

Email Address

Last Name

Date of Birth

What type you prefer? *

Online

In-person

Which one is your priority? *

Loos Weight

Lean Muscle

Postural Correction

Pregnancy

Fitness Improvement

Do you have any medical condition(s) or any problems that may make it dangerous for you to participate in physical activity/exercise? *

No

Yes

Please fill the below and let me know what your doctor has recomended.

Initials

Today's Date

I declare that the info I’ve provided is accurate & complete

Thanks for expressing your interest in joining the FIT ON BEAT journey. I will soon reach out to proceed with your application ;)

© 2020 by Fatima Asili. FIT ON BEAT

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