Small Group Training Application
Please fill out this form to schedule a free consultation with a Chariot coach
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Email address
*
Your email
Name
*
First and last name
Your answer
Phone number
Your answer
Promo Code
Your answer
Do you prefer to communicate with a particular coach? Please choose one answer.
*
Doesn't matter
Alex Routt
Anna Routt
Leigh Rush
Scott Rounds
Lee Fugelsoe
Stephen Mobley
Lacey Herring
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What are your fitness goals? Please check all that apply.
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Lose weight
Feel better
Have fun
Reach a specific goal
Look good
Compete in a sport
Independence and quality of life
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What challenges do you anticipate? Please check all that apply.
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Not knowing anyone at Chariot
Finances
Busy schedule
Unknown environment
Never exercised before
Bad habits
Maybe I'm too old
Maybe I'm too out of shape
I have an injury or history of injuries
I have a medical condition
Other:
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What are your strengths? Please check all that apply.
I'm coachable
I'm dedicated
I have a positive attitude
I always keep my word
I'm kind
I have self discipline
I have been an athlete for a long time
I'm a hard worker
I believe in myself
Other:
What are your weaknesses? Please check all that apply.
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Too good looking
Too yoked
Too talented
Too funny
Too athletic
Beard is too luxurious
Too stylish
Other:
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Are you interested in online coaching or on location?
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Chariot Connect (Online)
307 Cedar Ave. Rome, Ga 30161
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Thank you for letting us know how we can help you. You will be contacted via email shortly!
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