Powerlifting Coaching Application
Thank you for your interest in our coaching! Please fill out the application form below.
Personal Information
Full Name
First Name
Last Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Age
Height & Weight
Goals
What are some of your short term and long term goals?
Training History
Experience Level with fitness & gym
Beginner
Intermediate
Advanced
What gym / equipment do you have access to?
What excercises do you feel helped you the most?
what are some of your favorite excercises
Current Training Program
Please describe your current training program and frequency.
Add your current weekly workout split and excercises
Do you currently track what you eat, and what is the macros?
how much cardio do you do weekly?
Injuries or Health Conditions
Do you have any injuries or health conditions we should be aware of?
Yes
No
If yes, please provide details:
Any lingering pain or discomfort?
Supplements
what supplements and/or sarms are you taking?
Do you take or have you taken PEDs?
What type of training or coaching are you looking for
Powerlifting/ Meet prep
Bodybuilding/ Gain Size
Hybrid / Deka
Lifestyle / weight loss / healthier life
PED Consultation
Do you know which coach you'd like to apply for?
Please Select
Oscar Galvan
Abi Medina
Joe Coreas
No Preference
How did you hear about us? (Add who reffered you in comments below)
Instagram
Tiktok
Facebook
Referral
Additional Information
if you have previous workout plans and schedule you can drop it here or send in a file to me
Free Consultation
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