Name
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First Name
Last Name
Instagram Username
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Phone
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(###)
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####
Email
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Date of Birth
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MM
DD
YYYY
Gender
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Male
Female
Location (state)
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Program Selection
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Can select multiple
If you selected competition prep, What is your experience with competition? Have you competed before and if so what were your placings?
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Please be specific with show names, organizations and dates
Have you worked with a coach before? If so, what was your experience like?
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What do you hope to achieve with my coaching?
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Are you currently following any type of program?
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(training, nutrition or other coaching program)
If following a current program please provide more information or insight on current program
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Please describe how long and how well you have been following this program; please include segments of your program both training and or nutrition
Level of Training?
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Type of Gym Access?
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Number of Training Days Weekly
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Number of Sessions of Cardio Weekly
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Any additional information that may help me get to know you better or you feel I should know more in depth about?
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Do you regularly consume alcohol?
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Are you currently on any medications (prescriptions, PED's, marijuana, other)
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List what kind, duration, history, dosages (disclaimer all information is taken in with the utmost discretion and privacy, none of the information you provide will be incriminating)
I fully acknowledge that all information provided is truthful. *Disclaimer* All personal information provided will be kept to the utmost discretion and only seen by Nick Koeu. None of the information provided will be shared or incriminating.
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I agree that I am ready physically and financially to begin within a week time frame of submitting this application
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By submitting this application you fully acknowledge that you're ready to begin this process and that you are invested in the journey that is to come.
Due to limited amount of client spots and number of inquiries, please note that I expect once you submit this application and if it is accepted that you are physically, mentally and financially ready to start the process within the coming week.
By checking this box I FULLY ACKNOWLEDGE and AGREE to all the ATHLETE/CLIENT expectations outlined
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Here is an excerpt - Please refer back to front page for full version
All that I expect from any athlete or client is that you give me 100% EFFORT throughout our time working together.
Through time I expect our communication between coach and athlete to grow, this is a team effort between you and I and when communication improves, the process improves.
I have zero tolerance for lack of adherence to the plan and invalidated excuses deriving from lack of discipline and commitment.
I expect that you uphold the utmost honesty and truth through out time working together.
I don’t expect perfection, I expect that you challenge yourself to learn, adapt and apply yourself so you are not constantly repeating the same mistakes. This is how you improve and move forward.
It is completely your responsibility to check in with me weekly. This is part of your responsibility and duty to the process.
