Coaching Application Form

1
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
What is your Instagram/Tiktok/Facebook Link
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5
Age* This field is required.
6
Profession
7
How did you hear about Raw Barbell Club and Andy? (Instagram, Facebook, friend, podcast, etc.)* This field is required.
8
Describe your top 1-2 goals that you are currently working towards in your training* This field is required.
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9
Why is it so important that you achieve these goals?* This field is required.
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10
What have you tried in the past and what are you doing currently to hit these?* This field is required.
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11
What happens if you don't hit these goals? How will you feel?* This field is required.
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12
Where are you getting stuck right now? Where do you need help?* This field is required.
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13
If you found a program that was exactly what you are looking for, are you in a place in your life where you are able to make a financial & time investment and commit for at least 16 weeks to becoming the best version of yourself, physically and mentally?* This field is required.
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14
If you are accepted, how soon would you want to get started?* This field is required.
Please Select
Please Select
Immediately
Within a month from now
Over a month from now
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