Training Interest / Application
Please complete the form below to submit interest / apply for coaching! After filling out the details on this page, you will be directed to schedule your free Initial Consult before final submission.
Full Name
*
First Name
Last Name
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Email Address
*
example@example.com
Phone Number
*
Preferred Pronouns
Instagram
@apthul
What training option are you interested in?
*
Please Select
Remote Training
Hybrid Training
In-Person Training
Do you know how frequently you want your in-person sessions to be per week?
Please Select
1x/wk
2x/wk
Unsure, would love input.
Pricing is monthly but determined on what you expect your weekly frequency to be. All sessions are as schedule allows. Please see helmtraining.co/detail-training-descriptions for most up to date pricing.
What are you looking to get out of this coaching? What are your goals?
*
Examples: weight loss, build muscle, focus on building lifestyle habits, focus on developing specific body parts, increase performance in X sport(s), etc
Why do you want to work with me? How can I help you the most?
*
What is your occupation? What do you do?
How would you describe your activity level?
Please Select
Sedentary / Low Activity
Moderate Activity
Heavy Activity
Physical Job / Extreme Activity
What is your training / nutrition experience?
Please Select
Beginner
Intermediate
Advanced
If unsure, choose the lesser experienced option.
Do you have access to a well equipped gym? If so, please name it! If not, please explain what equipment you have.
If only interested in In-Person training, please put “N/A”
Do you have any injuries or medical history that will prevent you from performing any exercises or that may make progress more difficult?
*
How did you hear about HELM Training Co.?
*
Please Select
Referral
Instagram
Google Search
Facebook
Other
Health, fitness, and nutrition coaching is a long-term investment in yourself. This is not a quick fix. Are you prepared to invest in yourself as I am in you?
Yes.
No.
Disclaimer: I am not a medical professional and not qualified to provide medical advice, or treat or coach on any diagnosed or undiagnosed eating disorders. By selecting “I understand.” below, you are confirming that you do not have any diagnosed or undiagnosed disorders and are of sound body and mind.
*
I understand.
Field Notes Newsletter Acknowledgement
Please select here if you’d like to be added to the Field Notes newsletter list.
Back
Next
SCHEDULE YOUR INITIAL PHONE CONSULT
Let's find a time for us to chat! I want to be able to provide you the best service possible. During this call we'll go over your goals, history, and anything else you might want! If you have any additional questions, please bring them to the time you select. I will give you a call then.
Schedule Initial Phone Consult
*
Submit
Should be Empty: