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Coaching Application
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1
What's your main health/fitness goal?
*
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Can select multiple
Weight Loss
Muscle Gain
Improve Schoolwork
Mental health
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2
How old are you?
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10-13
14-17
18-25
25-35
36+
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3
Are you applying for yourself or your child?
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Please Select
I'm a minor applying for myself
I'm a parent applying for my child
I'm an adult applying for myself
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Please Select
I'm a minor applying for myself
I'm a parent applying for my child
I'm an adult applying for myself
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4
This application is for PAID 1:1 coaching (including personalized nutrition, workouts, weekly checkins & 24/7 chat with me) Do you want to continue? (If your answer is no, please do not finish this application!)
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YES!
NO, Cancel my application
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5
Name
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First Name
Last Name
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6
E-mail
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example@example.com
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7
Do you have a code?
If not, just skip this!
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8
Book a time to speak with me
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