OTB member application form

Ready to take 30 seconds to apply to my Off The Bench life changing program to become the BEST version of yourself?

First Name *

Last Name *

Where did you hear OTB from? *

What is your primary fitness goal right now? *

How committed are you to achieving your fitness goals right now? *

What would be the biggest thing holding you back from achieving your results? *

What do you struggle with the most with losing weight?

Exercise

Nutrition

What 2-3 things as your coach would I have to emphasize on IF we were to work together?

I am absolutely committed to helping clients achieve their goals! Are you absolutely committed in accomplishing your goals? *

Would you like to set up a quick 15 minute fitness consult and get to your goals faster? *

How are you approaching this application?

I have less than $200, I just want something basic

My budget is tight but if the program can guarantee results then I'm committed!

My fitness goals are extremely important and I am in if I get accepted. I will do anything you say to get the results that I want

Email *

Phone *

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.