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Member Application Form
Jacquart Coaching Coaching Application
Please fill out all information honestly and I will respond promptly within 24 hours.
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1.
First Name
(Required.)
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2.
Last Name
(Required.)
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3.
Email
(Required.)
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4.
Age
(Required.)
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5.
Where do you struggle most?
(Required.)
Diet
Training
both
Neither, I just want guidance
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6.
What is your height and weight? (In&lbs) or (cm&kg)
(Required.)
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7.
Are you willing to commit to coaching?
(Required.)
Yes, sign me up!
No, send me a program I can follow on my own.
8.
What is your current diet like?
9.
What is your current training like?
All programs and diet plans are ran through Google drive as it is the most simple and understandable to follow.