Coaching — Bender Movement

Coaching Application

Please take a few minutes to tell me about yourself, where you’re coming from, and where you’d like to go with your training.

Name

First Name

Last Name

Age

Tell me the gist of who you are:

Work, location, lifestyle, interests, etc.

Training history:

What you enjoyed and what you didn't. What makes you feel good.

What are your goals?

Immediate or otherwise.

What equipment or facilities do you have access to? How many days a week would you like to be training?

Have you worked with a coach, online or otherwise? What was that like?

Any injuries or surgical procedures? Physical restrictions?

Type of coaching service you'd like to apply for:

Long term, remote - 12 weeks

Short term, remote - 6 weeks

Sterling Squad (Senior Referral Program) - 12 sessions

Medical disclaimer

By checking this box, I recognize the inherent risks with physical training and assume any such risks. I release Tasha Louie and Bender Movement from all liability should anything befall me in the course of this coaching service and recognize that the advice and physical training provided will not be meant as a substitute for the medical advice of physicians. For more details, please read the health disclaimer. (https://www.bendermovement.com/health-disclaimer)

Yes