First name
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Email
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How did you hear about us?
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BIN Coach
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By checking this box I confirm that I am NOT suffering from an active eating disorder.
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BIN coaches cannot diagnose or treat eating disorders, please email admin@blackironnutrition.com if you have any questions.
I am 18 years of age or older.
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If you are under the age of 18 and would like to work with us, please email us at, admin@blackironnutrition.com to discuss your situation
Can you tell us about your goal(s) in 1-2 sentences?
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Have you ever worked with a nutrition coach before?
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Yes
No
By checking this box I agree to the Black Iron Nutrition Terms & Conditions (link below)
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By checking this box I agree to the Performance Gold Client/Coach Boundary Agreement (link below)
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Are you interested in Macro or Macro-Free coaching?
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Macro
Macro-Free
Unsure - I would like my coach to help me decide
Preferred coach
Amanda May - WAITLIST
Brooke Haas Peragine
Carly Fuhrer
Chelsea Myntti
Kelly Baker
Leigha VandenToorn
Morgan Voz
Ryann Burke
Sabrina Atterbom
Whitney Doiron
No preference
Pricing
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$289.00 - Monthly
$852.00 - Every 3 months
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