Online Training Application

1
Full Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Phone Number
Please enter a valid phone number.
4
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
5
Age* This field is required.
6
Gender* This field is required.
Male
Female
7
Height* This field is required.
8
Current weight* This field is required.
9
Instagram Account* This field is required.
10
Primary Fitness Goals* This field is required.
Fat Loss
Muscle gain
Weight loss
Enhance your knowledge
Find motivation
Improve health
Improve flexibility
Other
11
What type of physique or body shape do you want to achieve?For example: Lean, Hourglass shape, muscular body, muscular lower body but lean upper body, strong glutes, etc.
Huge
Large
Normal
Small
Ok
Ok
12
Which option best describes you?* This field is required.
I am new to working out and don't know where to start
I need accountability and motivation
I am not seeing the results I want/ I've hit a plateau
I want to try something new and make a change in my life
Other
13
Do you have access to a gym?* This field is required.Home gym or a commercial gym
YESNO
14
Do you have access to any training equipment? Dumbbells, bands, ankle weights, etc.Only answer this question if you have answered "no" to the previous question
15
Which of the following best describes your body type?* This field is required.
Ectomorph: Lean and slender, less body fat with difficulty building muscle and gaining weight.
Mesomorph: Athletic and strong, efficient metabolism and responsive muscle cells with a relatively easy ability to gain muscle and lose fat.
Endomorph: High body fat and muscle, gains weight easily, often pear-shaped, slow metabolism, with a high tendency to store body fat.
16
Please describe your current training and diet (be as detailed as possible)* This field is required.**Training:** What is your weekly training split? What types of workouts do you include, such as strength training, cardio, mobility work, etc.? **Diet:** Please describe your meals: breakfast, lunch, dinner, snacks, and drinks. Do you track your macros or calories? Do you cook for yourself or eat out? How often do you eat out?
Huge
Large
Normal
Small
Ok
Ok
17
Have you ever had any injuries or chronic pain? If YES, please explain. Have you been cleared by your doctor to start working out?* This field is required.Please include any major surgeries you have had.
18
How long do you plan on working together?* This field is required.
3 months
6 months
12 months
Other
19
What are your TOP priorities when choosing a fitness program?"* This field is required.What features or support do you need in a fitness program?
Huge
Large
Normal
Small
Ok
Ok
20
Are you financially prepared to invest around $6-8 per day in yourself to achieve your fitness goals and improve your health through this coaching program?* This field is required.
Instagram
TikTok
Google
Word of mouth
Other
21
If we are a good fit, how soon can we start?* This field is required.
22
Is there anything else you'd like me to know about you?
23
How did you hear about us?* This field is required.
Instagram
TikTok
Google
Word of mouth
Other
24
FINAL STEP: Book your consultation by clicking the link below to discuss your training options.

Once you've booked your consultation, please return to this page and click "Next" and "Submit" to complete the process.

Book Your Consultation
25
By submitting this application, you confirm that you are serious about investing in your health and committed to working together. If you are under 18, parental consent is required.* This field is required.
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