New Client Intake — Flint Performance

Step 1 of 5

LET'S GET
TO KNOW YOU

Basic details so we can personalize your experience from day one.

First Name *

Required.

Last Name *

Required.

Email Address *

Please enter a valid email.

Phone Number *

Required.

Date of Birth *

Required.

City / State

Timezone *

Required.

Coaching Interest

Which level are you interested in? *

Level I — Foundation $249/mo Level II — Momentum $329/mo Level III — Peak $399/mo Not sure yet

Please select a coaching level.

1 / 5

Step 2 of 5

YOUR FITNESS
BASELINE

Help us understand where you're starting from so we can build the right plan.

Height

Current Weight

Fitness Level *

Beginner — New to structured training Intermediate — Some consistent training Advanced — Years of consistent training

Please select your fitness level.

Primary Goal *

Lose Weight / Burn Fat Build Muscle / Gain Strength Improve Performance General Health & Energy Body Recomposition

Please select a primary goal.

Training History & Experience

Injuries or Physical Limitations

Days Available to Train Per Week

4 days / week

1 day7 days

2 / 5

Step 4 of 5

YOUR DRIVE
& VISION

Understanding your "why" keeps you on track when it gets hard.

What does your ideal result look like in 90 days? *

Please share your 90-day vision.

What has held you back before?

What motivates you most? *

Looking better Feeling stronger More daily energy Health & longevity Confidence Athletic performance Stress relief Setting an example

Please select at least one.

Anything else your coach should know?

4 / 5

Step 5 of 5

ALMOST
THERE.

Please read and agree to the terms below before we get started.

Liability Waiver & Coaching Agreement

By submitting this intake form, I acknowledge that I am voluntarily participating in a fitness coaching program provided by Flint Performance. I understand that physical exercise involves inherent risks, including but not limited to muscle soreness, injury, and in rare cases, serious physical harm.

I confirm that I am in adequate physical health to participate in a fitness program and have consulted or will consult with a licensed physician if I have any medical concerns, conditions, or uncertainties about my ability to engage in physical exercise.

I agree to inform my Flint Performance coach of any changes to my health, injuries, or physical limitations that may arise during our coaching relationship. I accept full responsibility for my participation.

I understand that Flint Performance coaches are fitness professionals, not licensed medical doctors, and that no information shared during coaching constitutes medical advice. Results vary and are not guaranteed.

I agree to engage honestly and communicate openly with my coach. I understand that my commitment and consistency are the primary drivers of my results.

I have read and agree to the Liability Waiver & Coaching Agreement above. I confirm I am 18 years of age or older and all information provided is accurate and truthful.

You must agree to both statements to continue.

5 / 5

✓

YOU'RE
IN.

Your intake has been submitted. Your Flint Performance coach will review your information and reach out within 24–48 hours.

Check your email for a confirmation

Your coach will reach out to schedule your first call

Be ready — this is just the beginning

LET'S GETTO KNOW YOU

YOUR FITNESSBASELINE

YOURLIFESTYLE

YOUR DRIVE& VISION

ALMOSTTHERE.

YOU'REIN.

LET'S GET
TO KNOW YOU

YOUR FITNESS
BASELINE

YOUR
LIFESTYLE

YOUR DRIVE
& VISION

ALMOST
THERE.

YOU'RE
IN.