ONLINE/LIVE VIDEO PERSONAL TRAINING

SIGN UP & 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 Video Training Service Category, pick the appropriate package and make a payment thru secured Mind Body Site.

Rates Are Listed In The Button

Phone Number: *

Xtreme Advantage Sculpting Program:
Personalized online training and/or live video training workouts designed for muscle toning (sculpting), lean muscle building, strength & conditioning. Specialized advanced training & athletic conditioning programs are also available, please call for rates.

FOR 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 Live Video Training Package *

Xtreme Advantage Weight Loss Program:
Personalized online training, nutritional guidance and/or live video 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 Video Training availibilty prior to purchasing.