The Everyday Athlete 1:1 Online Program Application Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Full Name *Age *What is a good number to contact you? *Instagram Handle or Facebook Name *Where did you hear about this program? *InstagramFacebookWord of MouthOtherWhat would you say is/are your main goal(s) at this time? *Build Muscle/StrengthBody Recomposition (lose body fat/gain muscle)Improve overall health and learn more about fitness/nutritionWork on mobility/showing my body some TLCMinimizing aches and painsInjury preventionSports specific trainingWhat is the biggest thing holding you back from reaching/achieving your goals? (i.e lack of accountability or motivation, lack of knowledge etc.) *Have you every worked with a coach in the past? In person or online? *Do you currently have any injuries or areas of concern? *What is your history with exercise and working out? *What specifically made you want to work with Britni and Rise Performance and Physical Therapy? *On a scale of 0-10 how committed are you to reaching your current goals Selected Value: 0 The investment can range anywhere from $250-350 a month for coaching services. If I were to share that with you what would your honest response be? *I am ready to invest in myself and do whatever it takes to reach my goals!I would definitely need a payment plan but want to hear more about the programI don't know if I could sign up immediately but I would like to make it happen, so I would still like to learn moreI don't even want to talk about it because I am not willing to prioritize or even figure out how to make the investmentSubmit