REVOLUTION X APPLICATION FORM 

Full Name*
Are you:*
Address
What size T-Shirt are you?
Unisex sizing

MEDICAL HISTORY

PLEASE SELECT IF ANY OF THE FOLLOWING CONDITIONS APPLY TO YOU*
Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?*
Do you ever feel pain in your chest when you do physical activity?*
In the past month, have you had chest pain when NOT doing physical activity?*
Do you lose your balance due to dizziness or do you ever lose consciousness?*
Do you have a bone or joint problem (for example: back, knee or hip) that could be made worse by a change in your physical activity? - Copy*
Is your doctor currently prescribing medication (for example: water pills) for your blood pressure or heart condition?*

INJURY

Do you suffer with any postural difficulties?*
If YES, please select your problem area(s):
Do you suffer from any back pain?*
If YES, please select the pain level:
Does this impede your mobility?

EXERCISE

Are you currently exercising?*
What does your current exercise program entail?

REV X AND YOUR GOALS

THE FOUR PILLARS OF REVOLUTION X


As Revolution X withholds the highest standard in human mindset philosophy, nutritional expertise, training knowledge and application, in unity with a momentous community; it is our first requirement that we get to know YOU!


Revolution X is for ANYONE but NOT for EVERYONE.


Our 4 Pillars are the essential foundations of which the Revolution X identity was founded on. 


1. MINDSET

2. TRAINING 

3. NUTRITION

4. COMMUNITY

THE REV X CODE

The terms and conditions of Rev X

No phones to be used on the training floor (exceptions may apply at the Coaches discretion i.e. medical emergency etc.)*
Do not be late to class. Each minute constitutes a 10 burpee penalty (5 mins is the cut-off). *
*This is NOT a punishment. This is respect to your coaches and fellow members. If you're not early, you're late.
If others are still fighting through a workout and you're complete, you will support them until the end*
You will enter the gym via the main doors and always check-in*
You will maintain a cleanly and hygienic gym, including: cleaning gym equipment, self-hygiene, wearing deodorant, always using a towel and cleaning up after yourself*
No parking in NON REVX car sports, including the directors spot*
I will take part in social events to support our community*
I will take part in Rev X's quarterly 'LEVEL UP' program, to challenge and progress any/and or all of the 4 pillars of Rev X
I will utilise consultations to their full capacity. Ongoing guidance, knowledge development and exploration with your coaches at least 4 times a year; to guide your goals within the 4 pillars.
I will uphold the Rev X code*

YOUR COMMITTMENT

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