Coaching Application Form
Fill out the form to apply for coaching opportunities
Client Details
Client Name:
Full Name
*
First Name
Last Name
E-mail
example@example.com
City where you live:
Age:
e.g., 23
Weight (lbs)
e.g., 200lbs
Height (inches)
e.g., 72 in
Gender
Please Select
Male
Female
Prefer not to say
What Type of Coaching are you Applying for?
Lifestyle Coaching
Offseason or Show Prep
Nutritional Coaching
Custom Exercise Program
Personal Goals
How Active are you DAILY?
Sedentary
Low Activity
Moderately Active
Very Active
EXTREMELY ACTIVE
Primary Goals - What do you want to achieve with me?
Please be as specific and detailed as possible, especially regarding long term goals.
Are you or were you; on an Exercise Program. Please provide below:
Please be as specific and detailed as possible.
Injuries or Health Concerns/Conditions
Any (and all) physical limitations, imbalances, asymmetries, injuries, etc...
Nutrition
Current Daily Macros / Calories
It is okay if this is "ball-perked" or if you don't know or have never tracked this. Please just specify.
Any/All Important Nutritional Information
Allergies, Digestive Issues, Dietary Preferences or Limitations (such as money or time restrictions)
Current Supplementations or Medications
Vitamins, Minerals, Supplements or Medications
Any other important information you would like to share:
Anything that concerns you - concerns me.
Show Prep / Offseason Clients
LIFESTYLE CLIENTS - Leave the next section BLANK and submit.
Show Prep & Offseason Clients
What division & federation do you plan to compete in?
Men's Classic Physique, Women's Figure etc...
Have you competed before?
Yes, multiple times
Once before
No, this will be my first show
Do you have a particular "show" in mind? Or an "idea" of when you would like to step on stage?
It's ok if you do not have a specific show in mind
If yes, are you already registered for your show?
Yes
No
Current Physique - Attach photos
Browse Files
Drag and drop files here
Choose a file
To provide further insights to your current physique
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Should be Empty: