Apply Here

Do you want to overcome pain? Get back to an active lifestyle? Want to truly be there for your kids or grandkids?
Or maybe you just love kung fu and want to learn from me.

Whatever the case may be, you’re in the right place.

Fill out the form below to apply for a free 60 minute strategy call with me, where we will talk in depth about your problems and goals, and come up with a plan to get you where you want to be.

This is the first step in making your health and fitness goals a reality. I look forward to hearing from you!

Name

First Name

Last Name

Date of Birth

MM

DD

YYYY

Email

Is there anyone else involved in the decision to work with a coach?

Partner, parent etc.

Yes

No

What is the biggest challenge you are currently facing with your health and fitness?

What is stopping you from solving this problem?

What is your biggest goal?

What is your job/profession?

What time zone are you in? What days/times work best for you?

I can't guarantee that we can talk at that time, but we'll see what we can do

Are you willing to make a financial investment in your health and fitness?

Why do you think I am the person to help you solve this problem?