Program Purchase

Please fill out the form below to purchase a program

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I am...*

New To Shuman Performance

Previous/Current Shuman Performance Athlete

Contact Information

Name*

First Last

Email*

Phone*

Best time to contact

Morning

Afternoon

Both

Address

Street Address Address Line 2 City State ZIP Code

Player Profile

Age

Level

Year In School

List Any Other Sports You Are Currently Involved In

Current Location (City, State, Country)

Height

Weight

Goal Weight

How many days per week do you want to train & many minutes do you have to train?

Training History

Describe your overall training history*

i.e. S&C Programs, Weighted Balls, Pylos, Long Toss Programs, etc...

Describe your training over the last 4-6 weeks

Have you worked with an in-person trainer in the past?*

Have you worked with a remote/online coach in the past?*

If yes to either of the above, why did you stop working with the above coach(es)?

Current Diet / Sleep / Recovery Habits:

Injury History

Please describe your relevant injury history*

(include time missed, dates, etc...)

Are you currently suffering from an injury? (If yes, explain):**

Have you been cleared by your doctor to begin an exercise program?*

Goals

Describe your fitness goals. What do you want to achive the most? Be specific*

Describe your overall lifestyle goals*

What has stopped you from achieving these goals in the past?*

General Questions

How did you find out about Shuman Performance? (Referral, Google, Instagram, etc...)*

What sort of gym do you work out in?*

What (if any) are the equipment limitations at your gym?

Anything else you'd like us to know?

Payment

Select Plan Level*

Base

Advanced

Elite

Reason for New Subscription*

I Am Upgrading My Plan

I Am Downgrading My Plan

I Am Resuming a Previously Paused Plan

Coupon

One Time Initial Evaluation Fee

Price:

Total

Credit Card*