Name (what you go by) *

First Name

Last Name

Phone (text) *

(###)

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Are you queer, trans, or questioning? *

Yes

No

Do you identify as a person of color? *

Yes

No

Do you have a disability or chronic illness? *

Yes

No

Which offering(s) are you interested in? (please see descriptions) *

Online Programming

In-person/Virtual Training (WAITLIST ONLY)

Starting a new fitness journey is a challenging but rewarding investment in your lifelong health and wellbeing. Do you feel physically, mentally, and financially ready to start now? *

Yes, let's do this!

Not at this time (If so, please fill out this form when you are ready)

You will be added to my email newsletter for queer, trans, and disability centered events and fitness advice. You may unsubscribe at any time. *

Sounds good