8-week EmpowerHer Transformation Waitlist

Welcome to the EmpowerHer Transformation Program Reservation Form!

Thank you for your interest in joining our 8-week EmpowerHer Transformation Program! We are thrilled to have you consider being a part of this transformative journey.

Our program is designed to empower women by focusing on fitness, nutrition, and community support. To ensure we provide the best experience possible, we kindly ask you to fill out this form with your details and preferences.

Your responses will help us tailor the program to meet your needs and achieve your goals. We appreciate you taking the time to provide this information and look forward to embarking on this journey with you!

Let's EmpowerHer together!

Sign in to Google to save your progress. Learn more
Email *
Name
What is the main thing you want to accomplish in the 8-week program?
What motivates you to join the EmpowerHer Transformation Program?

Current Fitness Level

Clear selection

Do you have any current or past injuries or medical conditions we should be aware of?

Yes/No (If yes, please specify)

Have you participated in any fitness programs before?

Yes/No (If yes, please specify which ones)

Preferred Time for Group Sessions

Clear selection

Do you have any dietary restrictions or preferences?

Yes/No (If yes, please specify)

How did you hear about the EmpowerHer Transformation Program?

Clear selection
Do you have any other comments or questions?
Thank you for reserving your spot in the EmpowerHer Transformation Program!

We're excited to have you join us for this transformative 8-week journey. Here are some important details about the program and pricing:

Current Member Pricing:

  • $100/month = $200 Total for 8-weeks.
  • Use code: MEMBER75 at checkout.

Non-Member Pricing:

  • $175/month = $350 Total for 8-weeks.

Program Dates:

  • Prep Week Starts: 9/23
  • First Pre-Assessment Class/Kickoff: 9/28
  • Last Class Date: 11/23

Want to Start Sooner?
If you have a group of friends ready to kick off an 8-week program before September, let's make it happen! You just need a minimum of 6 women to sign up. Message me directly at kelsey@momsinmotionfit.com with your preferred start date and member names.

You will hear back from us shortly with more details about the next steps.

Thank you for being a part of the MIM community. We look forward to empowering you on this incredible journey!

Warm regards,
Kelsey Robinson
Moms In Motion Fitness

Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Moms In Motion Fitness, LLC. Report Abuse