Work With Me!

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Phone Number* This field is required.I will be contacting you via text!
Please enter a valid phone number.
4
Emergency Contact (Name, Relationship, Phone Number)* This field is required.
5
Age* This field is required.Not trying to make fun of you...just curious!
6
Occupation* This field is required.
7
How did you hear about us?* This field is required.
Instagram
Google
Facebook
Website
Word of Mouth (please indicate who referred you in the "other" section below)
Other
8
We are looking for highly motivated, committed individuals who are ready for a change. Are you ready to commit to a lifestyle that requires consistent effort and hard work?* This field is required.
YESNO
9
Coaching starts at $50/session with a minimum commitment of 4 months. Is this within your budget and time frame? We do offer group rates if you plan to train with friends or family members!* This field is required.
YESNO
10
Describe your training history.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
11
Describe your injury history. Be specific with dates and details.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
12
Are you still suffering from the injuries above? If yes, please explain.* This field is required.
13
Have you been cleared by a doctor for exercise? * This field is required.
YESNO
14
What are your fitness goals? Be specific.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
15
Describe WHY the above goals are important to you.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
16
What has stopped you from achieving these goals previously? (You may indicate if they are new goals)* This field is required.
Huge
Large
Normal
Small
Ok
Ok
17
Have you worked with a coach in the past? If so, why, how long, and why did you stop working with them?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
18
How many days per week are you used to training?* This field is required.
None
1-2
2-3
3-4
4-5
5+
I'm super inconsistent
19
How many days a week do you wish to train going forward?* This field is required.
20
Are you currently a member at a gym? If so, what type of gym is it?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
21
How many hours of sleep do you get per night on average? Do you generally feel well rested? * This field is required.
22
How would you rate your nutrition, 1 to 10?* This field is required.
23
Do you have any questions for me?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
24
We love to see our clients have accountability partners while training with us, because honestly, things get hard sometimes when you feel like you're doing it on your own and relationships are EVERYTHING! Is there anyone else you know who would also benefit from training with you? If so, please tell us their name, your relationship to them, and why they're important to you! Then share this application with them! * This field is required.
25
WAIVER AND RELEASE OF LIABILITY In consideration of the risk of injury while participating in physical training and nutrition programs (the “Activity”), and as consideration for the right to participate in the Activity, I hereby knowingly and voluntarily enter into this waiver and release of liability and waive any and all rights, claims or causes of action of any kind whatsoever arising out of my participation in the Activity, and do hereby release and forever discharge Evolve Performance Training and all of it's coaches from any physical or psychological injury that may occur as a result of my participation in the Activity. I am voluntarily participating in the aforementioned Activity and am aware of any and all inherent risk associated with the Activity. I acknowledge that the Activity may involve a test of a person's physical and mental limits and may carry with it the potential for serious injury or death. I acknowledge that I have carefully read these terms and conditions and fully understand that it is a release of liability. I acknowledge that by writing my full name and date in the line below I am agreeing to all terms and conditions outlined above. (Please write your full name and the date)* This field is required.
Should be Empty: