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Interested In The Revival Method?
In order for me to maintain the quality of my services, Our team only works with a limited amount of people at one time. If we are currently at capacity, your application will be added to the waitlist.  Once there is an availability, I will reach out to you via email or direct message on Instagram
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Email *
In order for this partnership to be successful, it is key to understand that regardless of your goal (Mobility, Fat loss, lifestyle change), It will all take time. It is my goal to teach you all the tools you need to live the life that you have always wanted. By clicking agree, You are prepared to work on yourself for the next 3–12 months *
Investing in yourself (time, energy, financially) is a declaration that you are worth developing and improving. Are you in a position where you can invest? *
Name *
Email Address *
Phone Number *
Age *
Height *
Weight (Specify LB or KG) *
What is your profession? *
In as much detail as possible, please tell us why you are seeking our services. *
What are you goals for the next 3 months, 6 months, and 12 months? *
What will happen if you do not act now on these goals? Where will you be a year from now if you don't take action? *
What do you need from us to be successful that you've not been able to do on your own? *
Each of our clients have experienced a moment/breaking point where they decided enough is enough, and it was time to do something different. Describe YOUR moment. *
How serious are you about putting in the effort to overcome your struggles and achieve your goals? *
Not Motivated
Im Ready To Make A Serious Change
If you are accepted, how soon can you get started? *
Are you experiencing any pain? If So, where? *
Required
Is this issue limiting you from your training and physical function, including activities of daily living? If so, explain and be specific. If no pain/issues, type N/A *
What have you done for this issue previously and/or currently?   If no pain, type N/A *
If you've been evaluated for this by another professional, what have you been told about it?   If no pain, type N/A

 *
Have you had any serious medical condition in the past? Do you currently have any serious medical condition? If so, please explain and be specific. *
How stressed are you? *
Never Stressed
Always Stressed
Rate your quality of sleep *
Always Tired
Always waking up refreshed
How much sleep on average do you get each night (HRS) *
What equipment or training facility do you have access to? *
How many sessions per week is ideal for you? How much time per session? *
What does your training currently look like? (Be as specific as possible) *
Are there any movements that you dislike and would prefer not to do? Do you have any favorite exercises? *
What in particular stands out about this coaching program? We have thousands of applicants & a coaching team that pours their heart into each client, tell us why you REALLLLY want this. *
Before submitting this application, please read and confirm that you understand the following: You acknowledge and understand that any fitness or functional movement related information provided is for educational purposes only, and not medical advice. Online coaching is not designed to diagnose or treat medical conditions. You understand the health risks and possible adverse effects associated with exercise and understand that you should consult your physician before beginning any new exercise routine. You waive liability of Brandon Parker from any and all responsibility, liability, cost and expenses, including injuries or damages, resulting from your participation in exercise or educational information provided by him. By checking the box below, you agree that you have read, understood, and accepted the terms listed above. Additionally, you confirm that the information you have provided in this application is true and accurate, to the best of your knowledge. Do you agree with the terms of this waiver? *
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