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
* Required
Email address
*
Your email
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
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
NONE
Required
Mark the days you are available for online training
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
NONE
How do you prefer to pay for personal training?
Weekly
Monthly
Semi annually
Annually
Other:
Please select your method of payment (due 48 hours prior to the start of training. You may reschedule sessions. NO REFUNDS)
*
Cashapp
PayPal
Zelle app
Cash (Brought to trainer 24-48 hours before session)
Other:
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)
*
Choose
Yes
No
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
Send me a copy of my responses.
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