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Apply to Receive Client Referrals

What is your name?

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What is your email address?

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What is your phone number?

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What areas of LA do you serve?

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What areas of LA do you serve?

A

West LA / Santa Monica

B

Beverly Hills / Bel Air

C

Hollywood / Los Feliz

D

South Bay / Manhattan Beach

E

Valley (Sherman Oaks, Studio City)

F

Downtown LA

G

All of LA

What certifications do you hold? (e.g NASM, ACE, CSCS)

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What are you specialties?

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What are you specialties?

A

Weight loss

B

Muscle/building strength

C

Athletic performance

D

Pre/postnatal

E

Injury rehabilitation

F

Seniors / older adults

G

Nutrition coaching

H

Other

What are your rates per session?

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What are your rates per session?

A

Under $75

B

$75-$100

C

$150-$200

D

$200+

Do you have personal trainer liability insurance?

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Do you have personal trainer liability insurance?

A

Yes

B

No

C

In progress

Tell us a bit about yourself and your training style.

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Link to your website, Instagram, or any online profile.

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