In Person 1:1 Coaching Application
Located in Mayfield East, Newcastle, NSW
Personal Information
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number with your area code.
Format: (+61).
Age
*
Date of Birth
*
/
Day
/
Month
Year
Training and Performance
What are your current health, fitness, or performance goals?
*
What is holding you back from reaching them?
*
Do you have any injuries or limitations?
*
Have you worked with a coach before?
*
Yes
No
Do you currently follow a structured training program?
*
Yes
No
How many sessions a week can you train?
*
2
3
4
5
Program Fit
What are your preferred times to train?
5am-9am
9am-12pm
12pm-3pm
3pm-6pm
How confident on a scale or 1-10 are you that you will commit to at least an 8 week block of training?
How soon are you ready to start?
Please Select
ASAP!
Within 2 weeks
Next month
Submit Application
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