Fierce Sign Up

Welcome!

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Are you ok with us sharing your contact info w/ other Fitness Inspirers and instructors? *

Birthday *

I am READY to inspire and empower other women! *

YES

Are you enrolled in school? If so where? *

Optional questions below, but worth the typing time ;)

Who/What Inspired you to join? *

Who is someone you'd like to inspire *

What is one thing you are excited about/intention/goal/focus this semester? *

Are you nervous about anything you would like to share? Or any questions? *

How will we know you're moving towards your goal? How will you stay accountable? *

Required info to participate. Stay Safe + Inspired! Show up even when it feels hard or when progress is not going as fast as you would like!

Liability Waiver Agreement click HERE to see full agreement

I have read and agree to the Liability Waiver: *

Yes. I am injury free without any restrictions. Yes. I am responsible for modifying and complying with any restrictions.

Type your name as your electronic signature for the Liability Waiver Agreement *

Emergency Contact (first and last name) *

Emergency Contact Phone Number *

Way to go for taking action in the direction of your Fierce goals. You Rock! Let's do this!