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First name*

Last name*

Email*

Phone*

Birthday*

How did you hear about/find me?*

How can I help?*

Which one of these best describes you?*

I want to gain more muscle and bulk up!

I want to get lean and shredded!

I want to perform like an athlete!

I want to lose weight and get healthier!

I want to learn a martial art!

Other

Which of the following best describes you?*

I want to lose 5 - 10LBS

I want to lose 10 - 15LBS

I want to lose 15 - 20LBS

I want to lose 20LBS or more

Other

Do you currently have a gym membership?*

Yes

If you answered yes, where?*

How much do you have budgeted monthly for the achievement of you fitness goals?*

How soon are you looking to start?*

What does your availability look like?*

Have you suffered a stroke and/or heart attack?

Yes

If you answered "yes" please on when you this event occurred, and if you have been cleared by a Dr. for physical exercise...*

Please outline any past and/or present injuries or illnesses that might affect your training...*

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READY TO LEVEL UP?

I always respond to all inquiries in 24 hours or less, so do not hesitate to reach out. I look forward to chatting with you, thank you for your time, and I hope you enjoyed your visit

- Mukai

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Email*

Yes, subscribe me to your newsletter.

Address

Archetype

501-10344 102 ST NW

Edmonton, AB T5J 0K9

My Hours

Mon – Fri: 7:00am – 5:00pm
Sat: Closed

Sun: Closed

Home
About Mukai
The Gym
Services
Let's Chat

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