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Xena Fitness Project Application Forms

Congratulations on taking this step into your own empowerment and health. The Xena Foundation is here to help. On this page we have provided the Xena Fitness Project application documents. These documents include agreements that are required in advance of your initial orientation to the Xena Fitness Project. Upon submission of these application materials you will be ready to take the next step on your health fitness journey. A Xena Foundation coach will contact you and begin the process of developing your personalized coaching plan. Please take time to review and complete each form carefully.


Pilot Program Participation & Expectations


Marketing Release Form

Insurance Agent

Liability Waiver

Friendly Young Doctor

Physician's Consent to Participate

Doctor Office

HIPAA Privacy Practices & Release



Need Help?

If you are having difficulty and need assistance completing the application please contact us. 

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