60-Day Intensive Fitness Program
Completing this application is the first step in your fitness transformation with EliteX Personal Training.

To be considered for enrollment, please fill out this form with as much detail as possible. Upon submission, you will be called by Stephen Waite within one business day.

Email address *
Name *
Your answer
Phone Number *
Your answer
What is the preferred time for us to contact you? *
What is your preferred time to train?
How do you currently feel?
What is your fitness goal and why is it important to you? *
Your answer
Why are you not achieving your fitness goals? *
Required
How would you feel when you achieve your goals in just 60 days?
YOUR LEVEL OF COMMITMENT FOR TRANSFORMATION
How ready, able and willing are you to invest in yourself to get the RESULTS that you DESERVE? (time, effort, money)
Your answer
On a scale of 1 to 5, what level of commitment do you have to transform yourself in terms of fitness. *
This is a fully accountable, highly results driven training and nutrition transformation program. *
Required
A copy of your responses will be emailed to the address you provided.
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