Monthly 1:1 Virtual Coaching Enrollment!

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Thank you for enrolling in our Monthly 1:1 Virtual Coaching!

Our goal is to help you or your Athlete learn, build, and create sustainable habits with the proper execution.

This enrollment form will be completed in 3 sections:

Section 1. Initial Assessment:

Section 2. Goals and Expectations for you and your program

Section 3. Attitude and Mindset Assessment:

Parents, please fill out this form completely with your Athlete. You will receive an email confirmation with your responses.

Athletes, your input is critical to the success of your program. Be honest in your answers and understand that we are here to help!

Athletes Full Name *

Athletes Age *

Athletes Gender Identification *

How did you hear about us? *

What sports and activities do you or your Athlete participate in? *

Even if they are Currently Canceled.

What is the Specific Sport/activity you or your Athlete aspire to excel in? *

Add Event or Position if known or applies to your Sport.

Current Overall Activity level *

This includes walking, running, playing sports, biking, swimming or any other physical activity

Inactive/Sedentary 0-1 days/week

Moderatley Active 1-2 days/week

Active 3 days/week

Very Active 4 or more days/week

Current Sport/Activity Participation Level *

This includes current Practice Schedule

once a week

twice a week

3-4 times a week

5-7 times a week

How often do you or your Athlete currently follow a Strength Training program? *

once a week

twice a week

3-4 times a week

5-7 times a week

Currently don't follow any strength training at this time

Other:

Current Aerobic physical activity level? *

This is a Physical Activity Rating (PAR) score from 1-7. This includes Cardiorespiratory activity.

1: Walks for Pleasure and occasionally Exercises

2: Participate regularly in recreation requiring modest physical activity 10-60 min per week

3: Participate regularly in recreation requiring modest physical activity 1 hour per week

4: Participates regularly in heavy physical exercise 30 min of exercise each day per week

6: Participates regularly in heavy physical exercise 30-60 min each day per week

7: Participates regularly in heavy physical exercise more than 3 hours each day per week

Have you or your Athlete tried online health and fitness programs from trainers or coaches in the past? *

Yes

Which areas of Physical Fitness are you or your Athlete interested in improving the most? *

Check All That Apply

Muscular Strength - I want to be stronger!

Muscular Endurance - I want to endure exercise for longer periods of time with less fatigue

Cardiorespiratory Endurance - I want to improve my aerobic capacity, I'm running out of breath quickly when I exercise

Body Composition - I want to lose body fat mass and increase my Lean body mass

Mobility and Flexibility - I want to be able to move my body with less pain and restrictions

Other:

Required

Check the meals you or your Athlete consistently have each day *

Breakfast

Mid Morning Snack

Lunch

Afternoon/School Snack

Dinner

Late Night Snack

Required

Days and Time frames willing to commit to a Strength Training Program? *

These will be the days and times completed at home/gym on your own.

Not Available

8am

9am

10am

11am

12pm

1pm

2pm

3pm

4pm

5pm

6pm

7pm

8pm

other

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Please List any equipment you have available that you would like to use for your Strength Training program. *

Equipment is not required, however we can customize your training program based on the equipment you have.

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