APPLY FOR COACHINGCongratulations on taking the first step toward making a change. You’re in good hands! Name * First Name Last Name Email * Phone * (###) ### #### Which service are you applying for? * ONE-TIME SERVICE: CUSTOM TRAINING & NUTRITION PROGRAM 1 MONTH - ONLINE TRAINING & NUTRITION COACHING 3 MONTHS - ONLINE TRAINING & NUTRITION COACHING 6 MONTHS - ONLINE TRAINING & NUTRITION COACHING 12 MONTHS - ONLINE TRAINING & NUTRITION COACHING Height * Weight * Age * Gender * Male Female What is your occupation? * What are your average steps per day? * Are you proficient with tracking your nutrition? * Yes No How many calories do you consume per day? * How much protein do you consume per day? * What are your macros? * How much water do you drink per day? * How many days per week do you exercise? * Do you have gym access? * If not , please list all equipment you have available to use. List the type and duration of exercise for each day of the week: * Do you have any injuries or exercise limitations? * How many days per week do you consume alcohol? * How many alcoholic drinks do you consume per week? * How many days per week do you eat out? * How many meals per week do you eat out? * How many hours of sleep do you average per night? * On a scale of 1-5, how much stress do you have? * What is your goal? * What is your timeline to reach this goal? * What is your biggest challenge in reaching this goal? * What are your expectations of me as your coach? * I have a very 'tell it like it is' approach to coaching. I will always be upfront with you and won't lie to make you feel better. Can you handle this type of approach? * Yes No 3 Strikes & You're Out Policy Acknowledgement * The 3 Strikes & You're Out Policy states that if you commit the following "strikes" on three separate occasions your coaching plan will be terminated WITHOUT receiving a refund: • Miss a check in • Dishonestly report progress • Non-compliance I understand and agree No Refunds * There are no refunds once your plan has been sent to you. I understand and agree Disclaimer * All information provided is for general purposes only. I am not a physician or health care provider. I do not diagnose or treat health conditions. Any information provided to the client is not meant to prevent, treat, cure, or manage any type of illness or disease. All clients willingly accept full responsibility for implementing any and all suggestions made by a coach. Results are highly contingent upon adherence to your plan along with other factors beyond the coaches scope of practice and therefore cannot be guaranteed. Please consult with your doctor before engaging in any fitness and nutrition programs. If you are experiencing any health conditions or illnesses please seek the guidance of your doctor prior to submitting this form. By submitting this form I agree to hold Aaron Baslow and BAZZFIT, Inc harmless for an injury or illness sustained while participating in any fitness or nutrition program. All information provided (video, written, verbal, given in any form etc.) is the property of BAZZFIT, Inc. It should not be copied, presented, distributed, redistributed or sold in any form without the documented consent of BAZZFIT, Inc. I understand and agree Is there any other information you feel I should know before I create your plan? Thank you for your business! Please send payment via Vemno to @thebigbazzwolf. I will send your program in a link via text message 48-72 hours after payment is received. Looking forward to working with you!Aaron Bazz Content Link Block Select a page and create a visual link to it. Learn more Apply For Coaching
