Small Group Training Application
Please fill out this form to schedule a free consultation with a Chariot coach
First and last name
Do you prefer to communicate with a particular coach? Please choose one answer.
What are your fitness goals? Please check all that apply.
Reach a specific goal
Compete in a sport
Independence and quality of life
What challenges do you anticipate? Please check all that apply.
Not knowing anyone at Chariot
Never exercised before
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
What are your strengths? Please check all that apply.
I have a positive attitude
I always keep my word
I have self discipline
I have been an athlete for a long time
I'm a hard worker
I believe in myself
What are your weaknesses? Please check all that apply.
Too good looking
Beard is too luxurious
Are you interested in online coaching or on location?
Chariot Connect (Online)
307 Cedar Ave. Rome, Ga 30161
Thank you for letting us know how we can help you. You will be contacted via email shortly!
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