Charged Up Coaching

Apply for 12-Week
Online Coaching

This short application helps me understand where you are, what you want, and whether we're a good fit. Fill it out honestly — there are no wrong answers.

About You

First Name

Last Name

Email Address

Phone Number

Age

Gender (optional)

City / Time Zone

Instagram Handle (optional)

Training Background

Primary Goal

Fat Loss

Muscle Building

Strength

Athletic Performance

Body Recomposition

General Fitness

Other

Current Training Experience

Complete beginner (0–6 months)

Some experience (6 months – 2 years)

Intermediate (2–5 years)

Advanced (5+ years)

Where Do You Train?

Commercial gym

Home gym

Both

No consistent setup yet

How Many Days Per Week Can You Realistically Train?

A Little Deeper

What is your current biggest struggle?

Why do you want coaching right now?

Are you ready to start within the next 7–14 days?

Yes

Not sure

Are you comfortable investing $875 for this 12-week program?

Yes

Not sure

Anything else I should know? (optional)

Before You Submit

This is a 12-week structured online coaching program.

The investment is $875 for the full program.

You will receive personalized programming, nutrition guidance, and weekly check-ins.

This program is built for people ready for structure, accountability, and execution — not passive guidance.

After you apply, I will personally review your application and reach out within 48 hours to discuss next steps.

No payment required at this stage. I will reach out after reviewing your application.

Apply for 12-WeekOnline Coaching

Apply for 12-Week
Online Coaching