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Coaching Waitlist 2022

Fill out the form below to receive your free 30 minute COACHING INTERVIEW SPOT with Tactical Nutrition and Performance.  As spots become available you will receive more information via email.  NOT ALL APPLICATIONS WILL BE ACCEPTED.  You may receive additional information via email regarding your application if not accepted.  Thank you!

YOU WILL RECEIVE A LINK TO BOOK A CONSULT - CHECK YOUR EMAIL AND SPAM AFTER COMPLETING APPLICATION!

Click the button below to start.

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Question 1 of 11

By completing this form you are consenting to receive emails from Susan Lopez regarding appointments, nutrition information, newsletters, and other offers and information.  We do not release your information to any other parties.  

A

I accept

Question 2 of 11

State of Residence

Question 3 of 11

Which best describes you, check all that apply:

(Select all that apply)
A

Active Military

B

National Guard / Reserve

C

Training to Enter the military

D

Police / First Responders / Fire Service

E

Academy / Recruit

F

Other

Question 4 of 11

How did you hear about Susan Lopez, Tactical Dietitian:

A

Facebook

B

Instagram

C

Referral / Word of Mouth

D

Other

Question 5 of 11

Who were you referred by or where did you hear about us?

Question 6 of 11

What is your primary goal right now:

A

Performance

B

Weight / Fat Loss

C

Improve Health

D

Other

Question 7 of 11

Why would you like to talk to us about working together?   (be specific):

Question 8 of 11

Are you currently participating in a training program?  If so, are you working with a specific coach or program?

Question 9 of 11

After completing this application you will receive information via email (check spam if you do not receive an email immediately)

If you would prefer to be contacted by text please enter your phone number here:  

Question 10 of 11

I require my clients to be using a formal training program or using a template from an approved coach.  Are you willing to invest in a program as well?  (prices can vary $20 to $300 per month)

A

Yes

B

No

Question 11 of 11

Nutrition Coaching is an investment that sets you up for a lifetime of success.  The cost of a lifetime coaching program with Tactical Nutrition and Performance is approximately $400 per month for 12 months (discounts offered if paid in full).

If you are scheduling a call with our team then the assumption is that you are ready to invest and start coaching.  

Are you ready to commit to this investment?

A

Yes

B

No

Confirm and Submit