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Eternal Athletics Coaching Form
Thank you for your interest in coaching! Please answer the questionnaire below so I can learn about you and your goals more.
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Email
What type of coaching are you interested in? (check all that apply)
Full Name
Instagram account handle- If none, write "n/a"
Where are you located? (City, State)
Age & DOB
Height
Current bodyweight
Current bests on squat/bench/deadlift to competition standard- If unsure or does not apply, please note that.
1. Have you competed before? If so, when & what federation? 
2. Link your open Powerlifting profile here.
Would you like me to handle you at your meets?
Clear selection
Rank the following in order of importance: 
- Strength
- Conditioning
- Athleticism
- Muscle size
- Mobility
What are your goals? Name short and long term goals.
On a scale of 1-10, how motivated are you currently to achieve these goals? Feel free to explain.
How soon are you ready to begin your transformation? 
My rates depend on a few variables of your choice. Book a call or email me so we can customize a plan that fits you best.
Clear selection
Contact preference: Let me know which you prefer we use to communicate. This can change at any time.
Submit
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