Kenzie Coaching Inquiry

Kenzie Coaching Inquiry

Competition + Lifestyle
Full Name

First NameLast Name
Sex
Date of Birth

MonthDayYear
Age
Min age 18.
Height
in inches
Current Weight
in lbs
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
City, State & Country of residence

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Lifestyle Information
What do you do for work?
Whats the activity level at your job?
Do you follow a regular working schedule, do you work days, afternoon or nights?
How often do you travel?
Please list the physical activities that you participate in outside of the gym and outside of work
Medical and Health Information
If you have any diagnosed health problems list the condition(s).
If you are on any medications, please list them.
If you have any injuries, please list them.
What coaching service are you interested in?
If inquiring about contest prep or off season, which division(s) are you interested in?
Have you competed before?
Current Physique Front Picture

Please wear a bikini or minimal clothing that clearly shows your physique from head to toe. No t-shirts or full length pants of any kid, and loose shorts are not recommended. No mirror selfies. Natural lighting is preferred. Competitors are required to wear a bikini and heels if division requires, posed per division.
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Current Physique Back Picture

Please wear a bikini or minimal clothing that clearly shows your physique from head to toe. No t-shirts or full length pants of any kid, and loose shorts are not recommended. No mirror selfies. Natural lighting is preferred. Competitors are required to wear a bikini and heels if division requires, posed per division.
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Current Food Intake
Include calories/macros, if unknown please estimate.
Current Cardio Protocol
Type, frequency, duration.
Average steps per day
Training Experience Level
Have you taken PEDs before/on any currently?
If not put "N/A", if yes please list past cycles.
Females, are you on Birth Control?
If yes, please list what kind.
Blood Work (only if from the past 2 months)

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Tell me about yourself! In your own words, what is your goal? Anything else you think I should know or want to say?
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Kenzie Coaching Inquiry

Lifestyle Information

Medical and Health Information