We are offering two full scholarships, one for our Fat Loss coaching group and one for our Muscle Building coaching group. By completing the following application, you will be automatically entered to be considered for a scholarship.

To confirm, you are filling this out because you are interested in joining Mind Pump Group Coaching, correct? *

Yes, I am interested in joining Mind Pump Group Coaching

No, I am going to leave this page immediately

First Name *

Last Name *

Email *

Phone *

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Which group are you most interested in joining? *

Muscle Building Group

Fat Loss Group

I'm not sure

Which of the following best describes your goal with your fitness and nutrition? *

I'd like to feel more confident in my own skin.

I'd like my clothes to fit better.

I'd like to build muscle and get stronger.

I'd like to be healthy and live longer.

I'd like to heal and improve my relationship with food.

Be 100% honest - what do you think is stopping you from hitting your body composition goals? *

How much progress are you making with your current fitness and nutrition plan? *

I don't have a plan right now.

It's very slow and frustrating.

Some progress, but room for improvements.

If not offered the scholarship, are you still interested in joining the Group Coaching? *

Yes, definitely

Maybe

Probably not

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