Nxt Level | New Program Interest Form
We get a lot of coaches, trainers and customers who have expressed interest in providing a program. While we cannot accommodate every request based on our space, schedule and needs - we do want to hear from you! Please provide as much info as possible. If we feel that your program and experience match our schedule and overall mission, we will contact you to set up a meeting.
Name *
Your answer
Cell Phone *
Your answer
E-Mail *
Your answer
Please provide the general Sport/Activity *
Your answer
Please give a description of what kind of sport, activity or program you would like to provide *
Your answer
What experience and accolades do you have directly related to this program as a player or student? *
If you do not have any, write "none"
Your answer
What experience and accolades do you have directly related to this program as a coach or instructor? *
If you do not have any, write "none"
Your answer
How many CURRENT customers/students/athletes who live within 15 miles of Monroe, NY do you have who will instantly attend your program? *
If you can draw customers from further away, please let us know
How many CONTACTS (potential customers or coaches/directors) can you reach out to via cell phone or email to promote this program? *
place 0 if you don't have any current customers
Your answer
Please list any equipment that you currently own and plan on utilizing for this program
If you don't have or need any equipment, leave this answer blank
Your answer
Please list all MANDATORY equipment and prices of everything that is needed for you to get this program started
If you are able to run the program with NO additional equipment, please say so. The less up front costs to begin the program, the better!
Your answer
Please list all MANDATORY equipment and prices of everything that is needed for your program to run successfully if at full capacity
Please keep this initial budget under $1000. If we decide to add this program, we will ask for a more detailed spreadsheet that will include pricing, links, vendors, etc.
Your answer
Please provide the day(s) you are available to run this program *
Answer required in every row
9am-Noon
Noon-4pm
4pm-9:30pm
Unavailable
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What specific weekly days & times would you PREFER to run the program?
Your answer
Brief Bio
Please provide a brief bio about yourself and include items that we might not have asked and are relevant to your training and/or providing programs at Nxt Level
Your answer
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