Platinum Package

$497.00 / month

The Platinum Package is for people that need more direct communication with their coach.

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WARNING: Only 1 Coaching Services Package or Challenge entry may be added to your basket in a single order. Adding more than one of these items will update your basket to the most recent entry and remove your previous one.

Name*

Surname*

Contact Number*

Email Address*

Date of Birth (DD-MM-YYYY)*

Postal Address*

Current Height (cm's)*

Current Weight (KG's / lbs)*

Goal Weight for the next 12 weeks (KG's / lbs)*

Goal Weight Long Term (KG's / lbs)*

Please explain in more detail what you want to achieve now and in the future:*

What best describes your goal for this program? Select option below:*

How many years/months have you been weight training for?*

Do you have any injuries that prevent you from doing certain exercises? If Yes, Please explain further.*

Special dietary requirements (Eg: Vegan or Food Allergies)*

What time do you wake up?*

What time do you go to bed?*

What time do you typically train?*

What are your top 3 "healthy meals"?*

What are your top 3 "Not so healthy meals"?*

What equipment do you have access to?:*

Do you have the ability to train twice a day?*

Program Start Date (1 week minimum lead time from signup). Note: All programs start on a Monday*

How best would you describe your daily movements / activity level?*

Do you have any Injuries or chronic medication that could interfere with you sticking to the program? If yes, then please give us some history about it and what you have been advised to do:*

How did you find out about us?*

Referring Persons Name (If Applicable)

I accept the terms & conditions:*

SKU: M-Platinum Categories: Coaching Services, Male Coaching

Platinum Package

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