Apply Now
021 885 916
Apply Now
BOSSLADY SIGN-UP
Bosslady Sign Up Form
First Name
Last Name
Email
Phone
Previous
Next
Instagram or Facebook Handle
What is the best time of day to contact you?
Please select the program you are interested in:
- Select -
BOSSLADY Online
BOSSLADY Personal Training
BOSSLADY Bootcamp
BOSSLADY Burn (8 Week Challenge)
BOSSLADY Build (8 Week Challenge)
BOSSLADY Intensity (8 Week Challenge)
BOSSLADY Business Solutions (Consulting)
BOSSLADY Business Fit (4 Week Masterclass)
What session(s) are you interested in? (You can select both)
Monday 5:15-6PM
Wednesday 5:15-6PM
Previous
Next
Date of Birth
Working with me may require some sacrifices like time and investing into yourself to become physically and mentally stronger are you READY?
I am here for it!
Maybe...
Are you feeling ready to get a grasp on your goals and your life?
Yes
No
Maybe
Do you smoke?
Yes
No
Alcoholic beverages consumed per week:
None
1 to 3 per week
5+ per week
I'm Wild
How many hours of sleep do you get per night?
4 to 5 hours per night
6 to 7 hours per night
8+ hours per night
Other
I prefer working out...
At home
At the gym
Explain your recent physical activity for the past 6 months... (what you've done, what do you enjoy, what don't you enjoy, etc).
What would you like to achieve working together?
Would you be open to making sacrifices in order to become a better version of you? (For example: reducing uber eats, alcohol or cigarettes).
Please list any current or previous health conditions or injuries:
Business Name
A little bit about your business (What industry are you in, how long have you been operating, etc).
Previous
Next
Do you have any other questions or comments?
How did you hear about BOSSLADY?
Facebook
Instagram
TikTok
Google
BOSSLADY Website
Friends / Family
Other
Previous
Submit Form
