LIFESTYLE PROGRAM

LIFESTYLE
PROGRAM

Best GYM & Fitness Center Build Your Health.

CONTACT INFORMATION:

Name *

Last Name *

Email *

Phone *

Address *

DOB *

Height *

Weight *

How did you hear? *

Desired competiton division: ( Select One) *

Fat Loss
Muscle Building
Maintain
Classic Physique

Competitor Prep — $650 down + $125/month

Payment Terms:

$650 due upon initial contract signing.
$125 due on the 1st of each month, beginning after one full month has passed (as discussed between coach and client).

Agreement: *

I acknowledge and agree to the membership terms and payment schedule stated above.

Payment Method: (Select One) *

Venmo
PayPal
Zelle

⚠️ If paying through PayPal, please note that your total payment includes the $15 service fee for a total of $665.00.

Once your personalized program has been released, all sales are final and non-refundable.

Your individualized plan should not be used for diagnosing or treating health problems. Not all diet and exercise plans suit everyone. You should always consult your licensed healthcare provider before starting a diet, taking any form of supplement, or embarking on any fitness or weight training program. I am not a doctor. The information I provide is based on my personal experience through nutrition, coaching, and personal trainer. Any recommendations I make about weight training, nutrition, supplements or lifestyle should be discussed between you and your doctor.

Health Information:

Food Allergies *

Foods you will not eat *

Current medications (If Any)

List of medications you are taking (If Any)

How much cardio are you currently doing? days/minutes/intensity:

Injuries/weight lifting limitations? If yes, please list

Upload Recent Pictures: *

Drag & Drop Files, Choose Files to Upload

LADIES: Wearing a bikini, or a sports bra and shorts
MEN: Shorts or swim trunks, with no shirt.

If you don’t hear back within three business days, please check your spam folder.

Total

$0.00

Upload Proof of Payment

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Acknowledgment & Agreement

I have read and understand the payment terms, refund policy, and health disclaimer. I confirm that I have shared all relevant health information truthfully and will consult my physician as needed.

This consecutive 12-week plan includes:

Customized diet, cardio, and workout program, plus supplement recommendations.
Weekly check-ins via email or bi weekly in-person.
Unlimited support for questions between check-ins.
Meal prep guidance and recipe ideas based on your plan.
Diet and workouts/cardio are changed AS OR IF needed along the way.

You will be responsible for sending progress photos and a progress report each week,
or come weekly for in-person check-ins.

It’s up to you to stay on track and be in touch! We will not chase after you for your check-ins.