New Customer Registration Form

Full Name*

First NameLast Name

E-mail

example@example.com

Phone Number

Please enter a valid phone number.

What is your current age, height, and weight?*

What are your current goals? Please provide a detailed response. *

Your current (approximate) body fat percentage?

How did you hear about my coaching services?

How many days a week can you commit to a training program?*

What is your current workout regime? Please provide a detailed response. *

What time of day do you typically workout?*

What do you do for work? Does your job effect your workouts?*

Do you have any current or past injuries that prevent you from doing certain exercises?*

Do you have any food allergies?*

What does your current daily nutrition intake look like? Please provide a detailed response.

Do you have any health concerns I should be aware of?*

Can you commit to weekly check-ins?*

What is your PED cycle history over the last 18 months? (If applicable) Please provide a detailed response.

What length of time are you willing to commit to accomplish your goal?*

What is your monthly budget for coaching?

In the event that you need to cancel your coaching service, you must provide at least 30 days' notice to me via email. Without this notice, you will be required to pay for the remainder of the coaching term. If you agree to these terms, please sign below.*

If you had any follow-up questions in regards to my coaching services, please e-mail me at coachlittlejoe@apexgainz.ca with your inquiry; I am happy to chat before enrollment!