BodyTEA Training Prospect Form
Fill out the form carefully for registration
Name
*
First Name
Middle Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Birth Date
*
Please select a month
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Year
E-mail
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Training Options: Online/ In-Person
*
Please Select
Online
In-Person (small group training)
What are your holistic training goals/accomplish?
*
In-Person Pricing: $28/session for small group training (available time slots 7am-9am) Tuesday- Thursday$40/ session for personal training.
Small Group
Personal Training
In-person small group coaching slots: Choose the time that best fits your schedule for Tuesday - Thursday. You can choose to come 2 to 3 days per week. What time is best for you?
7am
8am
9am
In-person small group coaching slots: You can choose to come 2 to 3 days per week. What days can you come in?
(Location: 903 Huff Road NW, Atlanta GA 30318)
Will These Days/Times work for you?
Yes
No
If not, what days/times will?
Personal Training: Please list what days and times work best for you.
T-TH 6am, 12pm, 6pm
Online Programming/Virtual Training: What days/ times are best for you? (Skip this question if it doesn't apply to you.)
What is your biggest struggle with reaching your fitness goals?
*
Additional Comments/ Questions
Do you think you can commit to a program 90days? (90-Day Program Commitment: This is a 90-day program because real change requires discipline and time. Physiological adaptation, habit formation, and measurable results do not occur in weeks, they require a full 90-day cycle to become permanent. Partial commitment produces partial results.)
*
If you are not prepared to complete the full 90 days, this program is not for you.
Once Submitted please expect a call/ text from Coach Moody
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