1on1 Coaching w/ Moe

1

Email Address* This field is required.

2

Name* This field is required.First & Last

3

Age* This field is required.

4

Bodyweight and Height * This field is required.

5

Country, State, City * This field is required.

6

Social Media Handles* This field is required.(Lifting or Personal, this information is being used as a background check)

7

Phone Number

8

Have you competed in a powerlifting meet before? * This field is required.

YESNO

9

What are your current maxes in the gym for squat, bench, and deadlift? * This field is required.

10

Are you currently using steroids or any anabolic substance? If so, what are you using & how long have you been using it for (This information does not effect our decision on whether to have you as a LTK athlete) * This field is required.

11

Are you prescribed any drugs from your doctor that you use consistently? (Anti-depressants, Peptides, Acne Treatment, ect) If so, elaborate.

13

Are you able to get access to Discord, Google Sheets, & WhatsApp?

YESNO

14

Describe any pains/injuries you currently have or had in the past.

15

What does your current training look like? Be specific.

16

If taken on, when would you feel comfortable starting?

This coming Monday

Other

17

Tagsnull

Todo

In Progress

Done