Strong Foundations - Application

First name

Last name

Phone

Birthday

Year

Month

Day

Have you lifted weights before?

Yes

A little

What is your main goal for this program?

What is currently holding you back (if anything) from lifting weights?

Do you have any current injuries, pain, or physical limitations I should know about? Note: we can accommodate most limitations. This helps me customize your training.

Do you have any medical conditions I should be aware of?

Have you been cleared by a doctor for exercise?

Can you commit to attending both weekly sessions (Tuesday's and Thursday's at 6:30am)?

Yes

Other - please specify

Which payment option works best for you?

Pay in full $1,100

3 Payments of $400 each

What made you interested in this program?

Is there anything else you would like to share or any questions you have?

I understand this is an application and not a confirmation of enrollment. Once your application is reviewed, Michelle will contact you via email within 24-48 hours. Your spot in the program will be held once payment is received. Next steps and payment details will be provided in your acceptance email.