ONLINE CLIENT REGISTRATION

Get ready for a whole new you! Complete the steps below to register for personalized fitness coaching & programming with Amanda Prather (NASM CPT). Amanda will review your information and contact you within 48 hours to start developing your personalized fitness program.

Payments are taken within 48 hours of registration
( Review my personal training Policies & FAQ here )


Fill out the form below...

Name *
Name
Date of Birth
Date of Birth
Address *
Address
Cell Phone *
Cell Phone
Fitness Apps *
Client workouts shared, organized, and tracked using the app TrainerFu. In addition, food tracking apps such as MyFitnessPal and FatSecret are recommended for optimal results. Are you able to download fitness applications to a device?
Goals at a Glance *
Check all that apply.
Describe your personal fitness vision. Where would you like to improve? How do you see your ideal self? Give me all the details!
Realistically, considering life & all it's unexpected surprises, how many days a week can you commit to a gym workout?
Describe your current fitness routine: How many days a week are you currently weight training & for how long? How many days are you doing cardio & for how long? Taking any group classes? Play any sports regularly? Not working out yet? Let me know here!
If applicable, describe any injuries--past or present-- that affect your fitness today.
What do you enjoy doing in your free time? Video games? Netflix binge? Hiking? Gardening?
Physical Capability Acknowledgement *
Take me through one full day of your eating routine, unedited. List your meals/snacks, their timing, what you are eating, what you are drinking, and roughly how much.
Speaking of food, what are your all time favorite foods?
Please list any known dietary allergens or food concerns you may have.
Please select the method of payment that works best for you. *Please note, all remote credit card are processed via square & have a $3.75 processing fee
If payment is via Venmo: please list your Venmo name.
If payment is via PayPal: please list your PayPal email.
Got a question or anything else to share? Let me know here!
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