Client Application
Hey, Thank you so much for your interest in training with me! About Me: I am a NASM Certified Personal Trainer with a B.S. in Exercise Science. I train at Allegiance Training Facility in Corona , CA. At the end of my programs, you can expect to be in the best shape and health of your life, with sustainable results tailored to your personal goals. Services: 1:1 Coaching, Group Coaching, Nutritional Guidance and, Accountablity I specialize in fat loss, strength with a focus on empowering individuals to achieve their fitness goals.
Name
First Name
Last Name
Instagram @
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Age / Height / Weight ( lb)
what’s your current activity level?
Sedentary
Lightly active
Moderately active
Very active
What are your primary fitness goals?
Weight Loss
Gain Muscle
Body recomp
General health and wellness
Tone up
Do you have any current injuries or medical conditions that might affect your ability to exercise?
How many days a week are you available to train?
2x per week
3x per week
4x per week
What is your current eating style or any dietary preferences/restrictions?
Dietary habits: # meals per day / # snack per day/ typical day meals
How many days a week do you currently exercise?
How committed are you to reaching your goals? 1-10 🫣 right answer 10! lets get to workkkk
What is your biggest challenge when it comes to fitness or maintaining a healthy lifestyle?
Current Pics: Please attach one front, side and back pose. NO FILTERS, NO SELFIES (Take with a Timer)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: