Special Needs Get Started – Adaptive Exercise Group

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- In-Home Personal Training
- Seniors Training
Special-Needs
- Special-Needs New Member Forms
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- New Member Forms

Home
Services
- In-Home Personal Training
- Seniors Training
Special-Needs
- Special-Needs New Member Forms
Contact
- New Member Forms

GET STARTED

Special Needs In-Home Training

Get Started

Let's Get Started!

Complete Contact Information

Complete Participant Questions

Complete Service Questions

Book Physical Fitness Assessment

The Participant Is Currently Enrolled In:

Consumer-Directed Care Plus (CDC+) Step Up For Students Not Enrolled In Any Programs Other

Is the participant currently engaged in outside therapies?

Yes No

If Yes, please describe:

Has the participant ever been enrolled in a structured fitness program?

Yes No

Have Behaviors prevented participation or enrollment in any services/organizations?

Yes No

If Yes, please describe:

What service(s) are you interested in?

In-Home Training Group Exercise Classes Not Sure

Where would you like to train?

In-Home Clubhouse/Amenity Center Public Park Other

If "Other." Please Explain:

Do you currently own any excersice equipment (ex. medicine ball, dumb bells, resistance bands, etc) *Not required

Yes No

If "Yes," please list equipment:

How did you hear about us?

Friend/Referral Support Coordinator Google Facebook Instagram Other

By checking this box I am indicating all information is accurate to the best of my knowledge as it pertains to the participant. I understand that any misinformation could directly impact the enrollment and (or) the participation in any and (all) services provided by Adaptive Exercise Group and it’s associates.

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New Member Forms

T: (904) 254-2909