Remote Training Form

Name/s*

First NameLast Name
Age*
History: Exercise / training / competitive experience, injuries, goals, marks, sports, positions, etc.
Parent Name (if minor, otherwise N/A)*

First NameLast Name
Parent Email (if minor, otherwise N/A)*
example@example.com
Parent Phone Number (if minor, otherwise 000-000-0000)*
Please enter a valid phone number.

Payment Page
Please choose your subscription option from the list below. This will be automatically billed monthly until you cancel.

If there comes a time when you'd like to upgrade, downgrade, or cancel your subscription, please try to do so before the auto billing cycle takes place each month so there is time to get it done before any new charges are accrued.

My Products*

Remote Training: Champion Tier -- Ongoing mentorship, ability to text my personal phone to check in as needed, program tailored as often as needed based on how you're feeling and responding to the training, ongoing video assessments

($1,000.00 for 28 days)

Remote Training: Gold Tier -- Check in every 2 weeks, program tailored to you every 2 weeks based on check in, communication and video reviews with biweekly check ins

($500.00 for 28 days)

Remote Training: Base Tier -- Monthly program fit to you based on our monthly check in call and monthly video review

($300.00 for 28 days)

Enter coupon

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

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Payment Page