Competitor Membership Application Form

Competitor Membership Application

To apply for membership please complete all questions.
Name

First NameLast Name
What state & time zone are you located in (U.S. & Teritories) ? If international please list the country you are located in as well as time zone.
E-mail
example@example.com
Cell Number
Format: (000) 000-0000.
YesNo
List your current goals you want to Tenisha to help you work on.
Why do you want to complete this goal?
What qualities are you looking for in a coach?
IF you know your current calories as well as macros please list it. If not please track 3 days of your normal food intake in the Crononometer App and email those logs to nutritionwithnisha@gmail.com
What is your current activity level? If you own a smartwatch what is your daily step amount? If you currently do cardio please list the type, amount of days weekly as well as the duration of activity.
Desired Membership Type - Check-2x weekly for all membership types
prevnext( X )
1 Year Membership
1 year of Competitor Membership. This includes Preps, Off Season & Reverse Diet. Training & nutrition only.

$1,500.00



6 month Membership
6 months of Competitor Membership. This includes all preps, off season, & reverse diet within a 6 month period. Training & nutrition only.

$800.00



3 month Membership
3 month membership general includes shorter preps or reverse diet to maintenance post-show. Training & nutrition only.

$425.00



Month-to-month Membership
Month to Month membership that you can purchase each month. This may include prep, off season, or reverse dieting post show. You can cancel this anytime. Training & nutrition onl.

$150.00
Submit Physique Photos
An intake phone call is REQUIRED for membership and to create a strategy plan for your success. Please choose a time and date below that works best for you.
Any health concerns (short or long term) ? Any past or current injuries? If you have any questions or anything you want to tell me that you haven't please let me know here.
Intake Appointment
Signature (verification purposes)

Clear
Signature Date

MonthDayYear
Date
Should be Empty: