Online Coaching And Training
This form is your application to complete a fitness program with Cr3ation Fitness. This will serve to go over your interests and goals to see if we would be a good fit for each other. You can expect a response to this within 36 hours through your email you provide below.

Programs include:
-Self-Sufficient: An online program that is individualized and tailored to your personal schedule and goals with check-ins through email every two weeks. $50/month
-Work-In Progress: An individualize online program that includes a weekly check-in and a monthly video call to review your exercise form and progress. $75/month
-All-In: An individualize online program that includes weekly email check-ins, exercise accountability up to 2x a week, and a monthly video call to review your exercise form and progress. $115/month
-Added extras include: nutritional guidance and coaching ($25/month), and 1/2 hour online video workouts with me coaching you ($40/session).
First and Last Name *
Your answer
Date of birth *
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Email *
Your answer
Skype name/Facebook name *
Your answer
Which program are you interested in? *
Your answer
What's your favorite holiday tradition? *
Your answer
What are your favorite foods? *
Your answer
Choose your top 3 goals for the next 3 months *
Required
What do you think I can help you achieve? *
Your answer
What type of accountability are you looking for in a fitness program? *
Required
If you are looking to join an online program, are you willing to spend $165-$315 on your 12 week program?
Name three people who will help keep you accountable with your health and fitness goals. Please list their names and emails. *Once you complete payment for your program, these contacts will be informed that you are participating in a fitness program. *
Your answer
If someone referred you to Cr3ation Fitness, please write their name below.
Your answer
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