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Application Form

Coaching Application

First name*

Last name*

Are you willing to follow a structured training and nutrition plan for 12 weeks?*

Birthday

Day

Month

Year

Email*

Phone

What are your long and short term fitness goals?

How important are these goals to you?

Short answer

Have you ever tracked your food before using an app like My Fitness Pal?*

If not, are you willing to learn and commit to tracking your food?*

How many days per week can you commit to exercise? (realistically)*

Do you have any health concerns or physical limitations that may affect your training or diet?*

Please provide any extra information related to your health and fitness goals.

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