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THE FACILITY
BARBELL BUILT PROGRAM APPLICATION
A progressively structured training approach designed to produce increased strength development...
FILL OUT THE FORM BELOW
First Name
Last Name
Email
Mobile / Cell Number
Age
Available Training Equipment:
*PLEASE SELECT ALL THAT APPLY*
Barbell & Plates
Dumbbells (Multiple Weight Sets)
Squat Rack
Flat Bench
Adjustable Bench
Cable Row Machine
Cable Pulldown Machine
Resistance Bands (Varying Tensions)
Pull Up Bar
Triceps Dip Parallel Bar
RESPOND BELOW WITH NUMBERS THAT ACCURATELY REFLECT YOUR CURRENT STRENGTH LEVEL:
POUNDS or KILOS (select)
--None--
POUNDS
KILOS
Bench Press 5 Rep Max (Current)
Back Squat 5 Rep Max (Current)
Conventional Deadlift 5 Rep Max (Current)
Training Frequency Commitment:
--None--
I can commit to 2-3 x per week in the gym
I can commit to 4-5 x per week in the gym
I can commit to 6-7 x per week in the gym
Starting Program Length:
--None--
16 Week Training Block
8 Week Training Block
Program Price Commitment:
16 Weeks: $180
8 Weeks: $115
--None--
One Time Payment
Flexible Installment Payment
Let me know when the program is on sale!
I'm no longer interested.
I am interested in nutrition guidance