Please fill out the form questions and a team member will reach out to you promptly to get you started at one of our affiliates!

For any immediate questions or concerns, please text or email Jared Miller:

jared@kealafoundation.com
808-651-6653

Name

First Name

Last Name

Phone

(###)

###

####

Date of Birth

YYYY

What is your gender?

Which of our affiliates do you live closest to?

Memberships allow you to attend any/all.

Training History

How long have you been doing strength or weight training?

Training Experience

Please provide a brief description or type of any and all strength or weight training experience you have.

Injury History

List any major surgeries or anything we should know

Do you have a heart or health condition that would prevent you from participating in strenuous physical activity.

If "yes," please share below, mark "no" if none.

How did you hear about us?

Additional Information: