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21
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1
Name
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First Name
Last Name
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2
Email Address
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example@example.com
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3
What is your age?
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4
How did you hear about Forge?
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5
What do you hope to accomplish by joining Forge?
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6
How serious are you about being disciplined to achieve this goal?
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1
2
3
4
5
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7
Explain your rating.
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8
What equipment do you have access to?
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To get the most out of your experience, it is recommended that you have access to at least 3 of the following items:
Bands
Barbells + Weights
Power Rack
Bench
Sandbags
Dumbbells
Kettlebells
Push/Pull Sled
Clubs/Maces/Bulgarian Bags
Cardio equipment (Rower, Treadmill, Elliptical, Bike, etc.)
Other (not mentioned)
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9
Other (not mentioned), What do you have?
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10
How often are you currently training?
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Daily
4-5 times/week
2-3 times/week
Once/week
Not at all
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11
How many days per week are you willing to commit to training? (what you will realistically do consistently based on your schedule and commitment, not aspirationally)
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2 times/wk
3 times/wk
4 times/wk
5 times/wk
6 times/wk
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12
What has been your biggest obstacle to achieving your goal(s) thus far?
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13
What Forge service most interests you?
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Training
Nutrition
Both
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14
Do you have any injuries that might affect your ability to participate in a training and nutrition program?
*
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Yes
No
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15
If yes, please describe below. Example: I was in a car crash when I was 16 years old and had spinal injuries. I have completed physical therapy and have been cleared by my physician to begin training. Example: I have been lifting for 5 years, but experience nagging shoulder and lower back pain when I try to lift heavy. Example: I like to run on weekends, but I suffer from chronically tight hips and a knee injury.
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16
Do you currently have a personal relationship with God?
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Yes
No
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17
Describe what that means to you.
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18
I acknowledge that I will be assigned and held accountable for the completion of specific tasks related to my stated goals.
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Check yes to agree.
YES
NO
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19
I agree to post the requested videos from each workout within 24 hours of completion.
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Check yes to agree.
YES
NO
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20
I understand that if I have not posted these videos, Coach Jeron will assume that I have not completed the workout.
*
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Check yes to agree.
YES
NO
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21
Forge 2025 Monthly Membership
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Monthly access to private group app, personal training plan, access to educational materials, and weekly check-ins.
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2025 Monthly Membership
$
97.00
for each
month
SUBSCRIBE
Email
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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