Train Your Ass Off 2021

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. At what email address would you like to be contacted?

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* 4. What is the best phone number to reach you at?

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* 5. What is the address where you currently live?

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* 6. What is your Instagram handle?

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* 7. Training Age (How many years have you been training)

0

60

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 8. Injury History (list all injuries with month and year)

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* 9. Medical History (list any and all medical issues)

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* 10. Medications (list any medications you are taking with dose)

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* 11. What Best Describes You?

Bodybuilder

Powerlifter

Strongman

Crossfit

Strength Enthusiast

Other (please specify)

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* 12. Best Lifts (Anything to provide an idea of your strength now)

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* 13. What Dates are you able to attend?

June 26, 2021 (Lower Body, Squat + Deadlift) (Price: $750)

June 27, 2021 (Upper Body: Bench) (Price: $750)

August 6, 2021 (Lower Body, Squat + Deadlift) (Price: $750)

August 7, 2021 (Upper Body: Bench) (Price: $750)

Both June 26th and 27th (Price: $1,050)

Both August 6th and 7th (Price: $1,050)

Any of the Above (You will be selected for one weekend, Price: $1,050)

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* 14. Would you like to be filmed?

I would like to be filmed.

I would not like to be filmed.

I have no preference.