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!!!

Name *

First Name Last Name

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

E-mail *

example@example.com

Cellular Number (we will communicate through Whatsapp) *

Area Code Phone Number

Instagram handle (if you have one)

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

Do you want my nutritional coaching as well? *

yes no

Do you want my mindset, and holistic health coaching? *

yes no

*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, semi-annually, or annually*

Memberships:

Per Month Membership ( $ 90.00 for the first month then, $ 50.00 for each month )

6 Month Membership ( $ 290.00 for the first payment then, $ 270.00 for each six months )

1 Year Membership ( $ 545.00 for the first year then, $ 525.00 for each year )

Premium Membership ( $ 60.00 for the first week then, $ 20.00 for each week )

If you want live coaching via zoom OR videos included in your program in place of demo pictures, instead of following your program alone with my guidance.

Free Consultation ( Free one-time payment)

*cancel anytime!*

*please send me your "before pictures" within 24 hours of completing this application if you commited to a membership*

*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. They will be sent via email!*

*With each membership you get:*

-1 on 1 coaching via text/email/zoom.
-weekly check ins via zoom/phone/text.
-customized program which will get updated every 2 months to accomodate goals.
-nutrition guidance. (optional)
-Mindset and Hollistic Health Coaching. (optional)
-$10 off on all of my pre-made guides. which go for $25-$50.
-$10 off on all of my challenges. Which go for $35-$50.
-IF you subcribe to monthly pay ($50/month), you will get all my e-books for free.

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