Gym Number Five | Pre-Application

Pre-Membership Application
to Train at

How did you hear about Gym N°5?

Your stats:

Height?

What is the most exciting aspect about potentially training at Gym N°5?

What is your biggest consideration(s) when contemplating joining Gym N°5?
Price? Location? Equipment? Community? Feel free to elaborate.

What is your experience level?

What is your primary workout focus?

Tell us about your specific fitness goals...

What best describes your biggest struggle right now?

	Getting Started I'm not sure where to start.

	Information Overload I don't know what's right for me.

	Consistency I need accountability & guidance.

	Plateau I've hit a plateau and can't break through

	My Gym I don't have one / Need a better one.

On a scale of 1-10, how would you rate fitness as a priority in your life?

Priority Level

1
LOWEST
priority 10
HIGHEST
priority

If you are offered a membership at Gym N°5, how commited are you to joining?

How many potential memberships are you considering purchasing?
[Family/Multi-Membership Discounts are available]

Start Date: When are you hoping to join?
[ ASAP? Next Week/Month? Specific Date? ]

Which Tier of membership are you interested in?

COACHING MEMBERSHIP

TIER 2+

Membership Features: ✓ 24-hour Member Access; ✓ Custom Training Plan; ✓ Nutrition Guidance; ✓ In-person Guidance; ✓ Discounted Private Sessions

[ various pricing available ]

- MOST POPULAR -

COACHING MEMBERSHIP

TIER 2

Membership Features: ✓ 24-hour Member Access; ✓ Custom Training Plan; ✓ Nutrition Guidance*; In-person Guidance; Discounted Private Sessions

[ *optional | various pricing available ]

BASIC MEMBERSHIP

TIER 1

Membership Features: ✓ 24-hour Member Access; Custom Training Plan; Nutrition Guidance; In-person Guidance; Discounted Private Sessions

[ various pricing available ]

DISCOUNTS & ADD-ONS
Gym Number Five offers the following discounts & membership add-ons. Please select any/all you are interested in hearing more about.

	STUDENT/HERO DISCOUNT MUST QUALIFY - Student, Teachers, Military [past & present], & First Responders

	NUTRITIONAL GUIDANCE Custom macro nutrient profile designed for your body and matched to your current workout stimulus & goals. *Included in TIER 2+.

Are you interested in one-on-one coaching or personal training services?

What is the best phone number to text you at?

That's it! Just Verify you are human and hit the SUBMIT button and your done taking the FIRST STEP toward achieving your goals!
- Human Verification -

Thank you!

Fillout to apply for a spot at
GYM NUMBER FIVE

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