1 ON 1 COACHING

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Name*

First NameLast Name

Email*

example@example.com

What is your Facebook handle or instagram handle? so I can contact you *

First & Last Name, Age, Height & Weight*

Occupation (Normal Work Hours, Short Description Of Day To Day Tasks) : This Will Help Me Make Your Program Fit Your Schedule Better*

What is your main goal you would like to achieve in the next 6-12 months? Explain in as much detail as possible.*

Injuries related to training & caused by what movements & Non-training related Injuries*

What training workout styles do you like and dislike? *

What is your training experience? (e.g. 2-3 years)*

Do you workout from a Gym or Home?*

Around 2000Around 5000Around 8000+10,000

Following a meal planTracking calories & macrosHaving a meal plan for structure and tracking food

Fat lossWeight lossMuscle gainAll the above

What's the biggest thing holding you back from achieving your fitness goals?*

WHY is it Important for you to make a change?*

What does you current meal schedule look like? (breakfast, lunch, dinner, snacks, takeout)*

Diet Restrictions? What foods do you avoid?*

Please summarize your current workout or cardio plan, What type of training do you prefer?*

Commitment & Contract – PolyfitDad Program
This Contract is between PolyfitDad (“Provider”) and the Client for participation in the 16-week online fitness program.

Program Overview
The PolyfitDad Program is a 16-week online fitness and nutrition coaching program designed to help you reach your weight-loss and performance goals. Participation requires full dedication and consistent engagement. By signing this Contract, you acknowledge that you respect and honor the program, its team, and the structure in place to deliver results.

Duration & Cost
Length: 16 weeks
Cost: $69 per week
This investment covers my coaching and access to a nutritionist who provides weekly support and adjustments to cater to your goals.
Support is provided Monday–Friday.
Over 16 weeks, this is the minimum investment required to ensure consistent guidance and results.

This is a 16-week commitment. Quitting early is unfair to the program. By signing, you agree to honor the full term and uphold the integrity of the program.
Failure to engage or complete check-ins three times may result in termination
Health Considerations
Participation involves physical activity. You must ensure you are in good health and disclose any conditions that could affect your ability to safely participate.

Cancellation & Refunds
This is a strict 16-week commitment. Early cancellation does not waive financial obligations — you are responsible for paying for all remaining weeks.

By signing, both parties confirm they have read, understood, and agree to these terms, and that signing this Contract reflects respect and commitment to the PolyfitDad Program.

My Subscriptions*

Polyfitdad Coaching

Premium training, nutrition coaching.

$69.00AUD for each week

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1 ON 1 COACHING

To design the most effective program, complete this form in full with as much detail as possible. Allow 3 business days for setup. Only apply if you’re fully committed.

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