Light Box Waitlist Form | BRAIN MEETS BRAWN

Thank you for considering Brain Meets Brawn to help fix your injuries and accomplish your fitness goals! I am currently at-capacity for new clients but please take a moment to leave some information for an estimated starting date.

Once you submit this form, I will contact you within 48-72 hours (excluding weekends) with more information. Current operating hours are Monday, Wednesday, and Friday from 8:00 AM to 5:00 PM with Tuesday and Thursday from 8:00 AM to 7:00 PM.

First name

Last name

Phone

Preferred method of contact?

Text

Call

What days of the week are you available for 60-minute sessions?

What SPECIFIC times during the days listed above are you available?

How many sessions per week are you interested in?

Do you want to be added to the "ON-CALL" list? Each week there are late cancellations and openings. I will reach out 1-2 days before to offer session times based on your availability. This would be inconsistent, but a way to get started.

Yes, add me to the list.

No, wait for an opening.

Will you be utilizing a Blue Cross Blue Shield insurance plan for sessions?

Yes

More Info

Yes, subscribe me to your newsletter.