Transform Blueprint 12-Week Application
Thank you for your interest in the Uplift 12-Week Blueprint!This pre-designed program is built for women who are ready to level up, not just physically, but mentally too. All you need is an open mind, a willingness to learn and grow, and a positive attitude.Whether you're just starting your health and fitness journey or looking to refine your routine, this program includes multiple training pathways tailored to your experience level, so you can feel confident and empowered every step of the way.It's time to lay your foundation, build lasting habits, and step into the most aligned version of you 💫
Name
First Name
Last Name
Email
example@example.com
Instagram handle
Contact Number (Whatsapp)
Please enter a valid phone number.
Age l Height (cms) l Weight (kgs)
Current activity level
Sedentary
Lightly Active/ 1-2 x a week
Moderate/3-4 x a week
Active/5-7 x a week
What is your primary fitness goal and estimated time frame? (Build lean muscle, lose weight, get stronger, increase fitness levels, events)
Why is this goal important to you?
What obstacles (past or present) have stopped you from achieving your goals in the past?
How did you hear about 'Uplift - Transform Blueprint'?
What is your experience with weight training?
Beginner (0-6 months)
Intimidate (6-18 months)
Advanced (2 years+)
Group fitness classes
What is your current or previous training experience, have you followed a weight training program before?
What is your preference to track your progress? E.g. scales, photos, measurements etc.
What will be your primary place of training?
Gym
Home (this requires a range of dumbbells)
Do you have any medical conditions or injuries that impact your ability to exercise?
Medical and injury report - attach any relative screening.
Browse Files
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I (the client) agree and acknowledge that my coach is not liable for any injuries or accidents that could happen during my training. Training is a physical activity that comes with risks when exercises are not performed properly. If I (the client) feel any pain or discomfort during my training I will send form video's to my coach.
Agree
Disagree
What does a typical day of eating look like for you? Please include a weekend day.
Do you have any dietary requirements or food intolerances? - if yes please list.
Nutrition approach preference:
Flexible Dieting/Macro Tracking (this is NOT a meal plan)
In-app full access to recipes and meal plans that fit your goal
Do you have any experience with macro or calorie tracking?
I am confident with it
I have a little experience/understanding
I'm a beginner
I (the client) declare that I have no history with disordered eating.
No I don't have any history of disordered eating
Yes I do have a history with disordered eating
I (the client) understand I must be 100% coachable and maintain a level of self-accountability. I understand that the results are based on my own (the client's) effort and adherence, not my coach's.
Agree
I (the client) understand that Online Coaching is a collaborative effort between the client and coach. My coach will not be responsible for chasing up missed check-ins, photos and body stats, this is the client's responsibility.
Agree
I understand that program is a period of 12-weeks and results will be fully based on my compliance and effort - no refunds will be issued for failure to commit (unless medical or health limitations with clinical note provided).
Agree
I agree to communicate with my coach. This means asking questions when needed, where there is confusion and being honest about any struggles you are having.
Agree
'Uplift - Transform Blueprint 'is a budget-friendly option for those wanting to experience online coaching and build momentum with structure and support -without the premium price tag. All questions, check-ins, and form videos will be directed through our private Facebook group or WhatsApp team group chat, so you can stay connected and supported every step of the way!
I understand and agree
Payment options
Please Select
Once off payment $700
2 x monthly $362.50 payments
Bi-weekly $125 payments
Payments will invoiced 7 days prior to the programming start date.
Cancellation Policy: Due to the nature of this pre-designed program and the immediate access to resources, no cancellations or refunds will be accepted once payment has been made.The only exception to this policy is in the case of a medical emergency or injury that physically prevents you from participating in the program. In such cases, official medical documentation must be provided and reviewed before any alternative arrangements (such as program deferral or partial credit) are considered.Please note: Change of mind, scheduling conflicts, or lack of commitment are not valid reasons for cancellation or refund.
I have read and agree
I acknowledge and agree to all of the above.
Submit Application
Submit Application
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