New Membership Request

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?
Should be Empty:

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