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Online Coaching Information Form
1
Name
First Name
Last Name
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2
Email
example@example.com
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3
Link your Social Media Handles below
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4
What is your current sport?
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Brazilian Jiu Jitsu
Mixed Martial Arts
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Please Select
Brazilian Jiu Jitsu
Mixed Martial Arts
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5
What belt are you?
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White
Blue
Purple
Brown
Black
Other
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Please Select
White
Blue
Purple
Brown
Black
Other
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6
Are you a competitor?
Please Select
Yes
No
No, but I'm thinking about it
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Please Select
Yes
No
No, but I'm thinking about it
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7
If you compete, what are your ambitions?
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8
Have you done any Strength and Conditioning before? If so, please give a brief description of your training
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9
Do you have any previous or current injuries? If so, please give a brief description including any surgical procedures you have had
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10
What is your current training schedule?
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11
How many days per week will you be doing Strength and Conditioning?
1x Per Week
2x Per Week
3x Per Week
4+ x Per Week
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12
When are you looking to start?
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13
What made you reach out to me specially?
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14
Are you willing to invest £79 per month into your training for at least the next 3 months?
There are no shortcuts to developing the physical qualities required for BJJ/MMA. A three month commitment gives you the best chance to start seeing meaningful results.
YES
NO
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15
If selected, I agree to sign up to the Imperium FPS Online Coaching program via the link provided.
All training and communication will take place via the Train Heroic App. You will be issued an access code within 24hrs of signing up. Please then allow up to 48hrs for your training to be uploaded. Thereafter, training sessions will be uploaded weekly to allow for any adjustments to be made.
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NO
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16
Is there anything else I should know?
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