Personal Training Sign Up Form
Mo’s Motivational Health Club mission is to make health products and services easily accessible to all people! We offer affordable personal training rates, consultations, weight loss products, and more; on an easily accessible online platform. Please complete the form below to schedule a slot.

Contact: mkrmgmt@moniquekrose.com
Email address *
Full Name *
Your answer
Phone number
Your answer
What City and State are you located in? *
Your answer
Current Weight *
Your answer
Goal Weight *
Your answer
Please briefly explain your health goal below.
Your answer
List prior injuries or health concerns such as illnesses below. Write "N/A" if you do not have any. *
Your answer
Mark the days that you are available for personal training *
Required
Mark the days you are available for online training *
How do you prefer to pay for personal training?
Please select your method of payment (due 48 hours prior to the start of training. You may reschedule sessions. NO REFUNDS) *
Mo's 5 Step Challenge Weight Loss Package
Are you interested in using the complete 5-Week Weight Loss Package? (Includes meal plan, natural juice recipes, at-home workout routines, phone consultations) *
Comments or Questions
Your answer
Copy and paste link in your search bar for Mo’s 5 Step Challenge Health Guide
http://bit.ly/flattummyguide
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