First Step to Fitness
SIGNING UP


Fitness for 15 GBP per month

Taking the first step to fitness, health and well-being is easy.

By completing the simple form below and subseqquent payment though paypal we can register you as a member. Your initial 3 month membership contract will be charged at £15.00 per month on a subscription basis. Once your initial months membership is paid we can evaluate the information supplied to provide a set of exercises and supply key elements of nutritional guidance so you can start your fitness programme to reach your goal.

As a member of Jarvis Fitness we can also suggest and supply suitable equipment on a monthly basis as part of a rental agreement (subject to terms & Conditions). Details of which can be sent to you once you are a member.

Your Jarvis Fitness membership also includes free SMS or email exercise reminders.
Any rental agreement is seperate to your monthly membership fee.

About your fitness & current health


Your Age *
(years)
Gender
Height *
(e.g. 1.68m or 5'6")
Weight *
(e.g. 65Kg or 143st 4lb")
What is your present activity level on a scale of 1 - 10?
(Please state what regular exercise, if any, you currently under take)
How many exercise sessions would you reasonably like to schedule and undertake in a seven day period?
What would be the best time of day for you to exercise?
If you do not participate in regular exercise have you engaged in any physical exercise within the last year, exceeding a 20 minute period?
(If 'Yes' please state)
Where do you plan to exercise?
If working out at home, what equipment do you presently have access to?
What is your fitness goal?
Are you presently suffering from any serious medical condition(s) or ailment(s)?
(If 'Yes' please state)
Have you suffered from any serious medical condition(s), including any noted above, or ailment(s) in the past 12 months?
(If 'Yes' please state)
How would you rate your present diet?
1 = Lots of fast food, convenience meals and missing meals.
5 = Occasional fast/convenience food alongside fairly regular meals as well as vegetables & fruit.
10 = Five portions of fruit and vegetables a day or more with regular meals.

In order to assist Jarvis Fitness in establishing your nutritional requirements you may like to keep a food diary for a seven day period. If you decide to keep a diary please record accurately the times that you eat and drink, what you consume as well as whether it was prepared at home or bought pre-prepared
How would you rate your present overall level of fitness? *
(On a scale of 1 - 10)

*In order to assist Jarvis Fitness in assessing your ability level we request that you perform one or more of the following assessment tests.

A) How many press ups can you do without resting or reaching failure?
(Press-ups should be performed with a straight body and back. The movement should be through the arms and chest area and not by moving your bottom up and down! If a full press-up is too difficult a half press-up can be performed by resting on your knees and moving in the same manner pushing with the arms and chest)

B) How long can you walk for whilst maintaining a brisk pace without getting out of breath?

C) How long can you run for without reaching exhaustion?

Please state your results from the above test(s) below:

Your Contact Details

Now if you could complete some basic contact details we can get back to you with details of how to proceed and register as a member.

First Name: *
Surname: *
Mobile Number:

(Please note that if you choose to leave this blank you will not be able to receive the SMS reminders as part of your membership.)
Email Address: *
Additional Information:
Please read the following disclaimer before providing any information:
The advice and information provided by Jarvis Fitness is for instructional purposes only. If participants and recipients of advice are suffering from serious impairment or illness Jarvis Fitness recommend that participants seek professional medical advice before following advice given by Jarvis Fitness.

In the event that injury does occur directly or indirectly as result of following Jarvis Fitness recommendations Jarvis Fitness will accept no liability, actual or consequential for personal injury or impairment suffered.

The materials on this website and provided to Jarvis Fitness members are not intended to replace the professional medical care, advice, diagnosis, treatment and consultation where necessary of a doctor, physiotherapist, dietician or nutritionist.

Your personal details once received will not be passed to or sold to any company or organisation. Jarvis Fitness may communicate to you by email information such as events, offers or promotions which could directly affect/enhance your membership experience.


I have read, understood and accept all of the above.

(*) Required fields