Strength Foundations Enrollment Form [June/July ‘25] Name * First Name Last Name Pronouns Email * Phone * Country (###) ### #### Which session are you joining? * Postpartum Community I'm not sure 1 or 2 workouts per week? * 1x: Sundays 11:00am 1x: Tuesdays 6:30pm 2x: Sundays & Tuesdays Drop In Answer the following questions as you feel comfortable: What are your goals for this 8 week session? Select all that apply: Get stronger Increase muscle mass Improve balance / coordination Feel more confident / familiar with exercise Complete a stress cycle Improve pelvic floor health Be in community / meet friends! Current fitness level: Beginner Intermediate Advanced I'm not sure! Select any option below that describes you currently: Pregnant Postpartum Peri/postmenopausal If pregnant or postpartum, how many weeks/months? Any pelvic floor symptoms you're experiencing? Any injuries or limitations? Any health conditions that impact exercise? What does your sleep and recovery look like currently? Have you ever worked with a coach or personal trainer? If so, how was that experience? Any experience(s) with exercise, dieting or your body that I should know about? Anything else you'd like me to know before this session begins? Any favorite songs you want to see on the workout playlist? Emergency Contact * First Name Last Name Emergency Contact Phone Number * (###) ### #### Release of Liability * can be found at https://www.kimberlysmithmovement.com/releaseofliability I have read, understand and agree to the terms of the release of liability I’m so glad you’re joinng Strength Foundations!!I will email you the digital welcome packet shortly that has all the info you need before our first session.