Membership Application Form

I am so happy you're here!! Just clicking on this form shows you're ready for change, I can't wait to teach you complete mental freedom, give you the body of your dreams but most importantly help you build a new healthy lifestyle through sustainable habits that will stay with you for life. Let's get you started!!!

For more info on me etc. head to my website: Here

Name*

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail*

example@example.com

Cellular Number (we will communicate through Whatsapp)*

Area CodePhone Number

Instagram handle (if you have one), so I can follow you!

Disclaimer *if you have any medical conditions please consult your doctor before starting this new fitness program, also note that safety is your responsibility and I am not responsible for any injuries that may occur. Please use proper form, listen to your body (know when you need a rest even during a workout), and use this program responsibly. Thank You*.

What are your goals? What are you wanting a coach for? Be as specific as possible*

this will allow me to see if we are a good fit!

List any injuries, disabilities or anything I should be aware of*

this will allow me to know if certain modifications need to be kept in mind.

If you don't have access to a gym, do you have equipment at home? if so, please list it here*

This will help me make your program as customized as possible.

Briefly explain your current training and cardio regimen, and how long you've been doing it*

what is your history with exercise? (ex. bad relationship, or athlete etc...)please explain in detail*

How dedicated are you on a scale of 1-10? please input the number*

List any other information you think should be mentioned to me

yesno

*I do charge an initial fee, setting up your programs is a lot more work than updating them after creation, so note the first price listed for each membership is a one time only payment. The second price listed for each membership is what you will pay monthly*

Memberships:

Per Month Membership($310.00 for the first month then,$200.00 for each month)

with this you get access to an all inclusive app where all your workouts will be, and where all your nutrition will be. Demo videos for all workouts, no guess work. Weekly check-in with me to make sure you are on track. This is all 100% custom to you and your goals.

Once a Week In-Person Session($70.00 for each week)

this covers by session, it is a subscription so it is weekly automatic payment and will continue until cancelled.

Twice a Week In-Person Session ($140.00 for each week)

$70/session. this covers by session, it is a subscription so it is weekly automatic payment and will continue until cancelled.

Free Consultation($ Free one-time payment)

*cancellations depend upon the contract that you sign* absolutely no refunds or trades of any kind. See your own individual contract for detailed information on this.

*please send me your "before pictures" within 24 hours of completing this application if you commited to a membership* failure to do so means your program will be delayed in getting to you.

*you will also receive a bi-weely check-in, please complete it as it is meant to help you! not completing it is a dis-service to yourself and it means I can't accurately change your plan. They will be sent via email!*

*With each membership you get:*

-1 on 1 coaching via text/email/zoom/in person.
-weekly check ins via a text or email that state how your week is going (staying on track etc)
Bi-weekly Formal Check-in, picutures and data-MUST BE FILLED OUT. If not filled out, I cannot accurately update your fitness your nutritiion target goals for the week.
-customized program which will get updated as often as needed.
-nutrition guidance/meal plan (optional or sole focus-seperate application)

If you chose "free consultation", please tell me in this box which membership you would be interested in: 1 year, 6 months, or monthly.

Schedule your free consultation, if you are not purchasing a membership

*you will not get charged if you chose "free consultation"*

LGF 1:1 Coaching Membership Application