How to Avail Our December Package

How to Avail Our December Package
Special Note:

When you work with a trainer, you’re addressing potential issues before they become problems! As a menopause-certified specialist coach, I’m ready to help ladies correct these issues and more. Message me to see what your personalized program could look like, bringing you more strength, balance, energy, and good feelings in a short period of time.It's Christmas – give yourself the gift of fitness!
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Date of Birth

MonthDayYear
Date
Coaching Package Details:
What are your main goals for this program?

Build strengthIncrease energyImprove fitnessManage menopause symptomsGain confidenceDevelop lasting healthy habitsAll of the above
Have you participated in a fitness or coaching program before?

YesNo
What areas of your health or wellness would you like to improve?

NutritionExercise routineMindfulness & stress managementMenopause symptomsSleepWeight managementAll of the above
Do you currently have any injuries or health conditions that might affect your workouts or nutrition?

Yes (Please describe) ____________________________________________No
Payment Information:

Pay in Full – $2999 (Includes Pay-in-Full Bonus)Payment Plan – $499 today, then 5 monthly payments of $499
Preferred Payment Method:

Credit/Debit CardPaypalOther ( Please specify) ____________________
Terms & Conditions:

I understand that the Special 6-Month Coaching Package is a comprehensive program that includes personalized coaching, fitness plans, and continuous support.

I agree to commit to the coaching package and understand that my payment is non-refundable.

I understand that any missed appointments or failure to follow through may affect my progress, but I will receive full support and guidance throughout the program.
Signature Over Printed Name

Powered by Jotform SignClear
Additional Notes or Questions: ( Feel free to share anything important to you about your health or wellness journey)
Should be Empty:

How to Avail Our December Package

Special Note: