Select the type of coaching you are applying for.
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Training & Nutrition
Nutrition Only
Training Only
NAME
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First Name
Last Name
GENDER
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Male
Female
AGE
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18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60+
DATE OF BIRTH
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DATE OF BIRTH
MM
DD
YYYY
ADDRESS
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Required for logistic and tax purposes.
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
PHONE
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Country
(###)
###
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SKYPE USERNAME
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HEIGHT
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4'8"
4'9"
4'10"
4'11"
5'0"
5'1"
5'2"
5'3"
5'4"
5'5"
5'6"
5'7"
5'8"
5'9"
5'10"
5'11"
6'0"
6'1"
6'2"
6'3"
6'4"
6'5"
6'6"
6'7"
6'8"
6'9"
6'10"
6'11"
7'0"+
TRACKING
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Please select amount of time you have been lifting weights.
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Please list any sports you are currently participating in.
Please list any sports you have previously participated in.
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INJURIES OR LIMITATIONS
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Please list and provide details to any injuries or physical limitations that may interfere with your training.
Please list exercises that you DO NOT ENJOY and DO NOT WISH TO PEFORM or that you are unable to perform due to injury.
TRAINING ROUTINE
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Please describe your current weekly weight training routine.
TRAINING FACILITY
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FREEWEIGHTS
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I have access to...
CABLES
I have access to...
MACHINES
I have access to...
MISCELLANEOUS
I have access to...
CARDIO
I have access to...
SHORT-TERM FITNESS GOALS
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What do you wish achieve during this coaching term?
Please explain.
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LONG-TERM FITNESS GOALS
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What are you hoping to achieve in terms of strength, body composition (muscle and body fat), endurance, and/or exercise technique in the next 1-2 years?
COMPETITION HISTORY
If applicable, lease briefly outline your competition history in physique sports and/or powerlifting.
COMPETITION DATE
Please provide the date of the first upcoming event.
MM
DD
YYYY
COMPETITION GOALS
e.g. I want to bring more developed arms and shoulders to my next bodybuilding competition.
Please select the amount of time you been training for the specific goal of gaining strength.
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GOAL LIFTS
Please indicate your 1-5 repetition maximum (RM) free-weight BARBELL SQUAT, BENCH PRESS, DEADLIFT, and PULL-UP GOALS and approximate time frame.
Please read the questions carefully and answer each one honestly. Selecting indicates "NO".
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Please select if the following statements apply to you.
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If you are pregnant or seeking to become pregnant, under the age of 18 or over the age of 69, we are sorry to advise that we cannot offer coaching services to you.
If you did NOT select (and therefore answer YES) to one or more questions: Talk with your physician by phone or in person BEFORE you start becoming much more physically active or BEFORE you have a fitness appraisal. Tell your physician about the PAR-Q and which questions you answered YES. You may be able to do any activity you want — as long as you start slowly and build up gradually. Or, you may need to restrict your activities to those which are safe for you. Talk with your doctor about the kinds of activities you wish to participate in and follow his/her advice. Find out which community programs are safe and helpful for you.
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If you selected (and therefore answered NO) honestly to all PAR-Q questions, you can be reasonably sure that you can: Start becoming much more physically active – begin slowly and build up gradually. This is the safest and easiest way to go; Take part in a fitness appraisal – this is an excellent way to determine your basic fitness so that you can plan the best way for you to live actively. It is also highly recommended that you have your blood pressure evaluated. If your reading is over 144/94, talk with your doctor before you start becoming much more physically active. DELAY BECOMING MUCH MORE ACTIVE: If you are not feeling well because of a temporary illness such as a cold or a fever – wait until you feel better; or if you are or may be pregnant – talk to your doctor before you start becoming more active.
How did you find out about Meta Athletics?
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I agree that I have answered all of the questions in this application as honestly and completely as possible.
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