STANDARD BOOTCAMP

1
Full Name* This field is required.
First Name
Last Name
2
Email* This field is required.Please ensure correct spelling or I will not be able to apply
example@example.com
3
Phone Number* This field is required.
Area Code
Phone Number
4
Where do you live?* This field is required.As of right now we only ship to the US, UK and Canada. We are always expanding so if you are in another area please list it in the "other" box and I will keep your email for when we expand to your country!
USA
United Kingdom
Canada
France
US Military Base
Other
5
Are you currently a coach or working with one?* This field is required.If you are currently in my bootcamp, you do not need to fill out this form. I will share the next groups details in our current group so that you can join. If you are already a coach, or currently working with one, please reach out to them about any groups they might be hosting, as my bootcamps are only open to non-coaches or those not working with one.
No I do not have a coach, and I'm not working with one.
I am a coach
I have a coach
I had a coach previously, but I'm no longer working with them
You are my current coach
6
Are you a member of Beachbody on Demand?* This field is required.
YESNO
7
Are you or your spouse a veteran or active member of the US military?* This field is required.We have discounted rates available for US military members, so if you are please let me know.
YESNO
8
How would you rate your current nutrition?* This field is required.
1
2
3
4
5
Fantastic!
9
What equipment do you currently have access to at home?
Weights
Resistance Bands
Yoga Mat
Pull-Up Bar
Aerobics Step
Other
10
What do you feel are your biggest obstacles when it comes to getting the results you want?* This field is required.
I don't have time
I don't know where to start
I have zero motivation
I have no support
I struggle with confidence
I can't afford it
Other
11
What is motivating you right now to commit to this group? Besides looking and feeling great, because we all want that. What is the deeper meaning to having a healthy lifestyle?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
12
Why do you want to work with ME specifically as your coach?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
13
Anything else you think I should know? Any questions for me?
14
Would you like to be added to my FREE newsletter?
Yes, subscribe me to this newsletter.
Should be Empty: