Sign Up Today!

1

Sign Up Today!

First Name

Last Name

Age

City/State

Phone number

Email

2

Gender

Female

Male

3

Type of Training Interested In?

Private 1 on 1

Online Virtual Training

Group Training ( Bootcamp)

4

Do you have any prior injuries, surgeries, or illnesses that require specialized care? If so please lists dates associated with the injury/diagnosis.

5

What are the results that you want to achieve?Goals

Ex: (Gain confidence and lose weight or learn proper exercise technique and gain lean muscle mass)

6

Have you had a trainer or rehabilitative care before? If so what were the dates/types and results achieved?

7

What are the roadblocks/obstacles holding you back from your goals?

8

When can you commit to begin working on your goals and start the program?Please type date below

9

When is your preferred time for sessions?

Mornings

Evenings

10

How many days per week would you like to train?

1-2

2-3

3-4