Coaching Enquiry ⭐️

1
Name* This field is required.
First Name
Last Name
2
Date of Birth* This field is required.
Date
Month
Day
Year
3
Email* This field is required.
example@example.com
4
Phone Number* This field is required.
5
What type of coaching are you looking for ?
1-2-2
2-2-1
Hybrid
Online
6
Social media (Instagram, Facebook or WhatsApp)* This field is required.
7
What are your goals you're looking to achieve?
8
How many sessions per week would you like to have with me
1 per week
1-2 per week
2-3 per week
9
How often can you commit to training per week (with me or without)
Please Select
Please Select
1 session
2 sessions
3 sessions
4 sessions
5 sessions
6 sessions
7 sessions
10
Do you have any diagnosed health conditions/ eating disorders or injuries? please list
11
Do you currently exercise/ train? please describe
12
What are your expectations of me as your coach?
13
All sessions are in Raise the Bar and you DO NOT need a membership

session duration is 30 minutes to an hour

1. cancelations

Cancelations of any block should be notified to myself 2 weeks beofre the final date of renewal

2.) All the information I have provided is correct

All the infomation on this form is correctand to the best of my knowlege. I have sought and followed any necessary medical advice. I understand that all the information given will be kept confidetial and only yourself and myself will see it
14
I AGREE TO THE ABOVE TERMS & CONDITIONS!
Yes
no
15
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