ONLINE TRAINING & LIVE VIRTUAL PERSONAL TRAINING SIGN UP AND ASSESSMENT FORM

Instructions:

STEP #1 Registration:Complete this Sign Up & Assessment Form below and submit.

STEP #2 Payment: Click the CLICK TO PAY NOW BUTTON (rates are listed in the button), select either Online Training or Live Virtual Personal Training Service Category, pick the appropriate package and make a payment thru secured Mind Body Site.

Rates Are Listed In The Button

Phone Number: *

Rates Are Listed In The Button

Name: *

Xtreme Advantage Sculpting Program:
Personalized Online Training and/or Live Virtual Personal Training Programs designed for muscle toning (sculpting), lean muscle building, strength & conditioning. Specialized advanced training & athletic conditioning programs are also available, please call for rates.

ONLINE TRAINING

Xtreme Advantage Muscle Mass Program:
Personalized Online Training & Nutritional Guidance Programs designed for muscle building, weight gain, strength & conditioning.

Select a Sculpting Package *

Please read Waiver & Release Form. *

I have read, understand & agree with the Waiver & Release Form.

Your Height :

Select a Virtual Personal Training Package *

Xtreme Advantage Weight Loss Program:
Personalized Online Training, Nutritional Guidance and/or Live Virtual Personal Training Programs designed for fat loss, muscle toning (sculpting), strength & conditioning. Specialized Xtreme Lean Programs are also available, please call for rates.

Additional Info

SCULPTING PROGRAM(Includes either a gym workout, home workout and/or live video workout)

* Please call for Live Virtual Personal Training availability prior to purchasing.

WEIGHT LOSS PROGRAM(Includes either a gym workout, home workout and/or live virtual workout with nutrition plan)

* Please call for Live Virtual Personal Training availability prior to purchasing.

Select a Weight Loss Package (includes workout & nutrition plan) *

WAIVER & RELEASE FORM

(Live) VIRTUAL PERSONAL TRAINING

MASS PROGRAM(Includes gym workout & nutrition plan)

Address, City, State, Zip : *

Choose which Online Training Workout *

Home Workout

Home Body Weight Workout

Gym Workout

None

Select a Muscle Mass Package (includes gym workout & nutrition plan) *

Your Age: *

Your Weight :

Body Fat % :

Choose which Online Training Program *

Sculpting Workout

Weight Loss

Muscle Mass

None

"Don't Talk About It, Be About It"

Contact us today! (586) 778-5222

ONLINE TRAINING & LIVE VIRTUAL PERSONAL TRAINING SIGN UP AND ASSESSMENT FORM