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Team Pilot Intake
First name
*
Last name
*
Email
*
Phone
*
Age
*
Bodyweight
*
What do you do for work?
*
How long have you been lifting?
*
Do you currently follow a training program?
*
Yes
No
When was your last deload?
Month
Day
Year
How often can you train?
*
3 days a week
4 days a week
5 days a week
No limit
What are your powerlifting goals
*
What are your Squat Bench and Deadlift Personal Records?
*
Do you have videos of those records?
*
Yes
No
When would you like to compete?
*
Rough timeframe is acceptable
Are you already registered for a meet?
Do you have any questions about me, my coaching style, or Team Pilot?
Submit
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