THE UNIT APPLICATION

I only take clients who are TRULY ready to make a change. I don't want to waste your time or mine. If you do what I tell you, you will turn your body into a high-powered machine.

Full Name *

Email *

Phone *

Date of birth *

Are you a parent? *

yes

no

partner is pregnant

What is your height? *

What is your weight? *

What is your current occupation? *

What are your fitness goals for the next 90 days? (Please be specific) *

What do you feel are your biggest struggles preventing you from reaching your fitness goals? (Please list them out) *

Finish this statement below. Right Now I... *

Have the financial resources to invest in my health if the right opportunity was before me.

Have access to the financial resources to invest in my health if the right opportunity was before me.

Don't have the financial resources at all and not sure how to identify where I might be able to get them to invest in my health.

Are you the sole authority in charge of your decisions or do you have a partner who is equally responsible in the decision making? *

I am solely responsible

I have a partner who is equally responsible

How did you find us? *

Instagram

Referral

Other

Did someone refer you to our program? If yes, who? *

Do you confirm you will keep and show up to your scheduled appointment ON TIME and DISTRACTION FREE? Please confirm by typing "I Will" in the line below. *