You are one step closer to feeling amazing naked!

Please fill out the application below to qualify for the next step.

First Name *

Last Name *

Phone *

Email *

Instagram Handle

To confirm, you’re filling this out because you want to lose fat, regain energy, build lean and tone muscle, and make this the LAST COACH you’ll ever need?

Age? *

Weight? *

Which of these best describe your goals with Stathom Fitness?

What is your current occupation and how long have you been doing this? Work environments have a huge impact on stress, therefore losing body fat. This helps us understand what kind of obstacles we’ll be up against! *

Do you have a significant other? If so, are they supportive of you potentially investing in your weight loss, health, and personal growth?

On a scale of 1-5, how ready / committed are you to changing your life right now? (1 being "not ready at all" and 5 being "I'll do anything to change my life") *

What would you expect from me as your coach if we decide to work together? *

Last Question! If you were to find a way to reach your dream body while still enjoying the foods you love and learning how to keep your results for LIFE, making Stathom Fitness the last coach you’ll ever need to hire - would you be willing (and able) to invest in getting the help necessary to get there?

Were you referred by someone? If so, please drop their name so I can properly thank them! :)

We Will Review Your Application

And We Will Be In Touch With Next Steps