16 Week Program | Scarberian Boxing Cl

First name

Phone

1. What inspired you to reach out now? (Why are you applying at this moment? What’s changed?)

2. What are your top 1–2 fitness or boxing goals? (Skill development? Weight loss? Mental toughness? Competing?)

3. How long have you wanted to accomplish this?

4. What’s your current fitness situation?

5. Why do you think you’ll succeed this time around? (What’s different about your mindset or motivation now?)

6. Have you ever trained in boxing or combat sports before?

Yes

No

If yes: What kind of training, how long ago, and where?

7. Are you okay with sparring being introduced gradually within the first 10 weeks of the program?

Yes

No

Unsure

8. Are you willing to commit to 2–3 days per week of in-person training for 16 weeks?

Yes

No

Maybe (need to check schedule)

9. Do you have any medical conditions, injuries, or concerns that could affect training?

No

Yes

If yes, Explain:

10. Are you more interested in competing long-term or doing this for fitness and personal development?

Competing

Fitness/Skill Building

Not sure Yet

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