AmalFitness Application Form

1

How can I help you?

Weight loss

Build muscle

Healthy lifestyle

Other

2

What is holding you back from achieving your goals?

3

I amAge

Under 20

21-24

25-30

31+

4

Introduce Yourself

First Name

Last Name

5

Instagram/Tiktok Handle:

6

How much are you willing to invest in yourself to achieve your fitness goals and join the AMALFITNESS 1-on-1 Coaching Program?

$100-$500

$500-$1000

$1000-$3000

$3000+

7

Phone Number:* This field is required.

Please enter a valid phone number.

8

What is your motivation to start now?

9

Email:* This field is required.

example@example.com

10

How many days a week are you willing to invest in yourself?

1-2

3-4

5-6

7

11

Congrats! Your application has been pre-approved schedule a call so we can enroll you into AMALFITNESS.