LUCHF Focus on Fitness Form

* Denotes required field
	Member ID
*	Member Name
	Home Phone
	Goals
	Update your workout card weekly
	Friendly Phone Call
	To exercise	days/week
	To exercise	minutes/session
	To begin exercise program
	To maintain exercise programs
	To improve cardiovascular endurance
	To increase muscular strength
	To increase muscular endurance
	To improve flexibility
	To lose weight
	To increase muscular size
	To learn how to use the equipment
	Other