CFC Scholarship Membership Application

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Here at CFC, we believe the love, support, and tangible healthcare solutions found throughout our global CrossFit community should be available to everyone. We believe providing more access to CrossFit’s life-changing health and fitness methodology is one way we can help.

The mission of the CFC Scholarship is to spark meaningful healthcare changes in various communities throughout Hampton Roads by providing foundational health and fitness education on a sliding scale basis.

Name *

Date of Birth *

YYYY

Phone Number *

Email *

Address (Please include city, state, and zip) *

Have you been a member of a CrossFit gym before? If so, how long and where did you attend? *

If you've never done CrossFit before, which timeframe works best to schedule your Foundations courses? *

Mornings (8a-11a)

Afternoons (12p-4p)

Evenings (430p-630p)

Have you been on a regular exercise program in the last 6 months? *

Yes

What are your current fitness goals? Please check all that apply. *

Lose weight

Live a healthy lifestyle

Increase strength

Look better naked

Increase self-esteem

Reduce stress

Train for a specific sport

Move better

Other:

Required

Over the past 10 years, how many times have you started and stopped a nutrition or exercise program? *

1-5

6-10

11-15

16-20

Too many to count

In your own opinion, why did you fail to "stick with it?" *

Discipline

Knowledge

Experience

Accountability

I had no idea what to do or how to do it.

Other:

What external factors have derailed your progress in the past? *

Time

Money

Convenient facility

Procrastination

Lack of support

Other:

On a scale of 1-10, how serious are you about achieving your goals? *

Not serious at all

Very serious

How much, if anything, would you be able to contribute monthly towards your membership? *

Would the financial assistance be temporary? If so, approximately how many months? *

Are you willing to commit to attending a minimum of AT LEAST 3x/week for AT LEAST 6 months while on scholarship and participate in monthly goal review sessions?

**Please note this is a requirement to participate in this program.

Yes

Please tell us why you think you'd be a good fit for the program. What would it mean to you? *

Thank you for your interest in the CFC Scholarship Program. We will contact you within 10 business days regarding any openings and next steps that may be available.

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