'INTRO TO UPLIFT' 12-WEEK CHALLENGE
Thank you for your interest in the 12-week challenge! This challenge requires you to have an open mind, the willingness to want to learn/up-skill and a positive attitude! These programs are pre-designed and offer different training options catered to your experience!
Name
First Name
Last Name
Email
example@example.com
Instagram handle
Contact Number (Whatsapp)
Please enter a valid phone number.
Age l Height (cms) l Weight (kgs)
Current activity level
Sedentary
Lightly Active/ 1-2 x a week
Moderate/3-4 x a week
Active/5-7 x a week
What is your primary fitness goal and estimated time frame? (Build lean muscle, lose weight, get stronger, increase fitness levels, events)
Why is this important to you?
How did you hear about the 12-week challenge?
What is your experience with weight training?
Beginner (0-6 months)
Intimidate (6-18 months)
Advanced (2 years+)
What is your current or previous training experience, have you followed a weight training program before?
What is your preference to track your progress? E.g. scales, photos, measurements etc.
What will be your primary place of training?
Gym
Home (this requires a range of dumbbells)
Do you have any medical conditions or injuries that impact your ability to exercise?
Medical and injury report - attach any relative screening.
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I (the client) agree and acknowledge that my coach is not liable for any injuries or accidents that could happen during my training. Training is a physical activity that comes with risks when exercises are not performed properly. If I (the client) feel any pain or discomfort during my training I will send form video's to my coach.
Agree
Disagree
What does a typical day of eating look like for you? Please include a weekend day.
Do you have any dietary requirements or food intolerances? - if yes please list.
Nutrition approach preference:
Flexible Dieting/Macro Tracking (this is NOT a meal plan)
In-app full access to recipes and meal plans that fit your goal
Do you have any experience with macro or calorie tracking?
I am confident with it
I have a little experience/understanding
I have no idea!
I (the client) declare that I have no history with disordered eating.
No I don't have any history of disordered eating
Yes I do have a history with disordered eating
I (the client) understand I must be 100% coachable and maintain a level of self-accountability. I understand that the results are based on my own (the client's) effort and adherence, not my coach's.
Agree
I (the client) understand that Online Coaching is a collaborative effort between the client and coach. My coach will not be responsible for chasing up missed check-ins, photos and body stats, this is the client's responsibility.
Agree
I understand that 'Intro to Uplift' is a period of 12 weeks and results will be fully based on my compliance and effort - no refunds will be issued for failure to commit (unless medical or health limitations with clinical note provided).
Agree
I agree to communicate with my coach. This means asking questions when needed, where there is confusion and being honest about any struggles you are having.
Agree
The 'Intro to Uplift' 12-week challenge is a more affordable option for those wanting to get the feel for online coaching. All questions/communication and form videos must go through the team group chat or private Facebook group.
I understand and agree
Payment options
Please Select
Once off payment $700
2 x monthly $362.50 payments
Bi-weekly $125 payments
Payments won't be invoiced until the 7th of June. Your first payment must be received by the 10th of June to secure your space.
I acknowledge and agree to all of the above.
Submit Application
Submit Application
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