Sign up for Coaching | Whiting Fitness

Prefered First and Last Name

Sex

Email Address (gmail required)

Height

What is your occupation and how active is it?

Goals: (short and long term)

Current exercise routine: (weights and cardio)

Athletic Background:

Do you have any injuries and/or issues with any specific movement or activity?

Age

Phone Number

Location

Weight

Which gym do you belong to/are planning on joining?

BF% (if known & method used)

How many calories are you consuming per day? (if you know exact macronutrient amount list here)

How many years of experience do you have exercising and lifting weights?

Do you have any food allergies or special needs/restrictions?

Who can I thank for referring you to me?

Attach front, side and back picture in swimsuit (preferred) or workout clothes.

Front

Side

Back

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