Start your intake

For new clients, after your consult. About ten minutes. The more you tell me, the better your program. Everything here stays between you and your coach.

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About you

First name *

Last name *

Email *

Mobile phone *

Date of birth *

City, State

Best way to reach you *

Text Call Email

Emergency contact name *

Their phone *

Relationship *

Your program

Which program are you joining? *

Hell Yeah Fitness (strength, health, body composition) Hybrid 407 (hybrid performance)

Training format *

In-person Remote (app-based) Hybrid (both)

How did you hear about us?

If someone referred you, who?

Hybrid 407 athlete profile

Next race or event

Race date

Best HYROX time (if any)

Recent 5K time (or best guess)

Running per week right now *

Strength sessions per week right now *

What do you want to improve most? *

Any recent numbers?

Goals

Tell me more. What do you want to accomplish, and why now? *

What would make the next 90 days a win? *

Training history

How many days a week are you active right now? *

0 1–2 3–4 5+

What does your training look like right now?

What has worked for you before, and what hasn't?

Schedule & equipment

Time per session *

30 min 45 min 60 min 75+ min

Where will you train? *

Full commercial gym Home gym Minimal equipment / bodyweight Mix of gym and home

Gym name (if any)

Home equipment you have

Lifestyle

Anything about your diet I should know?

Health screening

These help me program safely. A "yes" doesn't rule you out. It means we may need a doctor's OK first.

Has a doctor ever said you have a heart condition or high blood pressure?

Yes No

Do you feel pain or pressure in your chest at rest, during daily activities, or when you exercise?

Yes No

Have you lost balance from dizziness or lost consciousness in the past 12 months?

Yes No

Have you been diagnosed with another chronic medical condition (besides heart disease or high blood pressure)?

Yes No

Are you currently taking prescribed medication for a chronic medical condition?

Yes No

Do you have a bone, joint or soft-tissue problem that could get worse with exercise?

Yes No

Has a doctor ever said you should only do medically supervised physical activity?

Yes No

Are you pregnant or have you given birth in the last 12 months?

Yes No

If you answered yes to anything, tell me more

Condition, when it was diagnosed, whether you're cleared for exercise.

Injuries, surgeries or movements that bother you

Medications that affect exercise (optional)

e.g. blood pressure, blood thinners, insulin. You don't have to list anything else.

Waiver & policies

Please read the full Liability Waiver, Assumption of Risk & Policies before signing.

I have read and agree to the Liability Waiver & Assumption of Risk.The health information I gave is accurate. I will tell my coach if anything changes, and I'll get medical clearance if I'm asked to.I agree to the cancellation, payment and communication policies.

Photo / video consent *

Yes, you can share my photos/videos and results Share results only, no face Please don't share anything

Type your full legal name as your signature *

Date *

The participant is under 18, so a parent or guardian must also sign.

Parent / guardian full name *

Parent / guardian email *

As the parent/guardian, I have read the NOTICE TO THE MINOR CHILD'S NATURAL GUARDIAN, and I agree to the waiver and policies on behalf of the participant.

Fields marked * are required.