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Sample Form: ثبت‌نام عضویت باشگاه

انتخاب دوره، ساعت تمرین، هدف و پرسشنامه‌ی آمادگی (PAR-Q) کوتاه.

13 questions · Free up to 50 responses a month

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About this template

“ثبت‌نام عضویت باشگاه” has 13 questions on 2 pages; 10 are required and 3 optional. Question types: Yes / No (3), Short text (1), Mobile number (1), National ID (1), Date (1), Single choice (1), Dropdown (1), Multiple choice (1), Long text (1), Accept the terms (1), Signature (1). Its sections, in order: «عضویت», «سلامت». 12 ready-made options across 3 choice questions, all editable in the online version.

In the online version of this template

  • National IDs are checked instantly with the check-digit algorithm.
  • Mobile numbers are validated against the Iranian number format.
  • Dates are picked and stored on the Jalali (Persian) calendar.
  • Signatures are drawn on the phone or computer screen.
Related:Online form builderIranian national ID validator

عضویت

  1. 1.

    نام و نام خانوادگی *

    (Short text)
  2. 2.

    شماره موبایل *

    (Mobile number)
  3. 3.

    کد ملی *

    (National ID)
  4. 4.

    تاریخ تولد *

    (Date)
  5. 5.

    دوره *

    (Single choice)
    • ۱ ماهه
    • ۳ ماهه
    • ۶ ماهه
    • سالانه
  6. 6.

    ساعت تمرین

    (Dropdown)
    • صبح
    • ظهر
    • عصر
    • شب
  7. 7.

    هدف

    (Multiple choice)
    • کاهش وزن
    • افزایش عضله
    • آمادگی عمومی
    • توان‌بخشی

سلامت

  1. 8.

    پزشک گفته مشکل قلبی دارید؟ *

    (Yes / No)
  2. 9.

    هنگام فعالیت درد قفسه‌ی سینه داشته‌اید؟ *

    (Yes / No)
  3. 10.

    مشکل مفصلی/استخوانی دارید؟ *

    (Yes / No)
  4. 11.

    توضیح دهید

    (Long text)
  5. 12.

    مسئولیت وضعیت سلامت خود را می‌پذیرم *

    (Accept the terms)
  6. 13.

    امضا *

    (Signature)

Printable or online?

Printable version (Word & PDF)

  • For filling in on paper, signing and filing by hand
  • Edit the Word file any way you like
  • Collecting and typing up the answers is up to you
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Online version on Porsino

  • Answers are collected and organised automatically — no retyping
  • National ID, mobile number and dates are validated instantly
  • Ready-made reports and charts, plus Excel export in one click
  • Share a link or QR code — it works on mobile too
Build the online version for free

How do I use this template?

  1. Sign up for Porsino for free; no bank card needed.
  2. In the panel, open “Templates” and choose “ثبت‌نام عضویت باشگاه”.
  3. Change the questions as you like, publish the form and send the link.

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