Bilt Wellness | Getting Started Questionnaire & Waiver

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Bilt Wellness Kick-Off Form

Welcome to Bilt Wellness, where your journey to better health begins! Please fill out this form below to start enjoying all of services and benefits Bilt Wellness has to offer.

Code

Phone

Are you a resident or hotel guest of a Bilt Wellness property?

What fitness and wellness goals to you hope to accomplish by working with Bilt Wellness?

Which services are you interested in?

Personal Training

Meal Prep Delivery Service

Bilt Supplements Program

Nutrition Coaching

Yoga

Fitness Classes

Zumba

Water Aerobics

Stretch Therapy

Massage

How did you hear about Us?

In order to receive access to your Bilt Wellness account dashboard and udates about services and classes at our Bilt Wellness locations, we ask that you leave this box checked in order to subscribe and become a Bilt Wellness site member.

I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.

Thanks for submitting!

WWW.BILTWELLNESS.COM

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