Coaching with Jeff Start Form Name* First Last Email* Enter Email Confirm Email Phone*Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Start Date MM slash DD slash YYYY Please tell us a little about your fitness history and interests.Please tell us a little about your competition history and interests.What are your goals and expectations with the coaching program?Please list all your home exercise and training equipment: bikes, pool, home gym equipment, etc.Are there goals and/or events you would like to complete during coaching?How many hours per week can you commit to training?Which days each week are you available for training?On average, how many days per month do you swim/bike/run/gym?Please describe your current exercise/training regime.Please tell us a little about your diet, nutrition, and hydration.How did you hear about Jeff's coaching program?Any other notes?
