New Membership Request
Use this form to apply for a membership. After you submit, we will contact you within 24 hours regarding the next step. Please direct any questions to strengthempirememphis@gmail.com or DM our Instagram (@strengthempirememphis). Thank you!
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
My interest is:
*
Powerlifting
Bodybuilding
Strongman
Highland Games
General strength training
Other
Tell us about your lifting background, experience, goals, etc.:
*
Do you compete?
*
Yes
No
No, but I want to.
Do you have a coach?
*
Yes
No
No, but I want one.
What time of day do you typically work out?
*
5am-9am
9am-12pm
12pm-2pm
2pm-5pm
5pm-7pm
7pm-9pm
9pm-5am
What days of the week do you typically work out?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Are you any of the following:
Military (active or not)
First responder/medical (fire/police/EMS/nurse/etc)
Educator/teacher
Type option 4
What is your Instagram handle?
Are you interested in any of the following:
Powerlifting team
One-on-one personal training
Powerlifting or general strength training programming
Are you 18 years or older?
*
Yes
No
How did you hear about us?
Submit
Should be Empty: