FICHA DE INSCRIO

INICIO _____/_____/_____

Nome: ____________________________________________________________________________________________________
RG: _________________________________________ CPF:________________________________________________________
Endereo residencial: _______________________________________________________________________________________
CEP: _____________________ Cidade: __________________________________________________ Estado: ________________
E-mail: ____________________________________________________________________________________________________
Telefones: (______) _________________________________________________________________________________________
Objetivo: __________________________________________________________________________________________________
Data de nasc ________________________________________________________________________________________________

COMPOSIO CORPORAL
Peso _____________________________________________________________________________________
% gordura _________________________________________________________________________________
% massa magra ____________________________________________________________________________
PERIMETRO
Data ______/______/______
Cintura: ________________________________
Hora: ________________________________
Quadril: ________________________________
Peso: ________________________________
Coxa D: ________________________________
Altura: _______________________________
Coxa E: ________________________________
Brao D: _____________________________
Pant. D: _______________________________
Brao E: _____________________________
Pant E: ________________________________
Trax: _______________________________
Pescoo: ______________________________

FICHA DE INSCRIO

INICIO _____/_____/_____

Nome: ____________________________________________________________________________________________________
RG: _________________________________________ CPF:________________________________________________________
Endereo residencial: _______________________________________________________________________________________
CEP: _____________________ Cidade: __________________________________________________ Estado: ________________
E-mail: ____________________________________________________________________________________________________
Telefones: (______) _________________________________________________________________________________________
Objetivo: __________________________________________________________________________________________________
Data de nasc.________________________________________________________________________________________________

COMPOSIO CORPORAL
Peso _____________________________________________________________________________________
% gordura _________________________________________________________________________________
% massa magra ____________________________________________________________________________
PERIMETRO
Data ______/______/______
Cintura: ________________________________
Hora: ________________________________
Quadril: ________________________________
Peso: ________________________________
Coxa D: ________________________________
Altura: _______________________________
Coxa E: ________________________________
Brao D: _____________________________
Pant. D: _______________________________
Brao E: _____________________________
Pant E: ________________________________
Trax: _______________________________
Pescoo: ______________________________

Mensalidades
Janeiro

Fevereiro

Maro

Abril

____/____/____

____/____/____

____/____/____

____/____/____

R$ ___________

R$ ___________

R$ ___________

R$ ___________

Assinatura

Assinatura

Assinatura

Assinatura

Maio

Junho

Julho

Agosto

____/____/____

____/____/____

____/____/____

____/____/____

R$ ___________

R$ ___________

R$ ___________

R$ ___________

Assinatura

Assinatura

Assinatura

Assinatura

Setembro

Outubro

Novembro

Dezembro

____/____/____

____/____/____

____/____/____

____/____/____

R$ ___________

R$ ___________

R$ ___________

R$ ___________

Assinatura

Assinatura

Assinatura

Assinatura

Mensalidades
Janeiro

Fevereiro

Maro

Abril

____/____/____

____/____/____

____/____/____

____/____/____

R$ ___________

R$ ___________

R$ ___________

R$ ___________

Assinatura

Assinatura

Assinatura

Assinatura

Maio

Junho

Julho

Agosto

____/____/____

____/____/____

____/____/____

____/____/____

R$ ___________

R$ ___________

R$ ___________

R$ ___________

Assinatura

Assinatura

Assinatura

Assinatura

Setembro

Outubro

Novembro

Dezembro

____/____/____

____/____/____

____/____/____

____/____/____

R$ ___________

R$ ___________

Assinatura

Assinatura

Assinatura

Assinatura