Coaching Application

LIMITED TO 100 COACHING CLIENTS

APPLICATION REQUIRED

BACKGROUND CHECK REQUIRED

ADULTS 18+ ONLY

This application takes about 5 minutes to complete.

Please answer honestly so we can determine whether we're the right fit for each other.

Your Basic Info

Full Name

Phone *

Email *

City *

State *

Your Goals

If you answered 'Other' to the previous question, explain here.

Why Now?

What made you take action today?

Your Current Situation

Which of these best describes where you're at right now?

I want to start but don’t know where to begin.

I've tried on my own but feel stuck and need real guidance.

I know what to do. I just need Accountability and Expert Coaching to stay consistent.

What's been your biggest roadblock so far? (Check all that apply)

Background Check

If I decide to pursue coaching and am accepted into Nomad Mixed Combat HQ, I understand a nationwide criminal background check will be required before I can begin coaching. Which statement best describes you? *

Yes — I would consent to a background check and believe I would pass.

No — I would not consent to a background check.

No — I do not believe I would pass.

Have you ever been convicted of, pleaded guilty or no contest to, or are you currently charged with a violent felony, sexual offense, domestic violence offense, child abuse offense, or any other offense that may affect your eligibility to participate into a private self-defense training program? *

Yes (Explain Below)

If Yes, Explain Below

Coaching Experience + Commitment

Have you ever worked with a coach or trainer before?

Yes

How motivated are you to becoming the strongest, most confident version of yourself—Starting Now?

This is a results-driven program that requires real commitment. Are you truly ready to invest in yourself and show up?

Yes

If this program feels like the right fit, how soon would you want to get started?

Right away

Within a few days

Still deciding

Training Schedule Preferences

This helps us understand what times might work best for you. Don’t worry — we’ll work together to build a plan that fits your life.

What time frame(s) are you most likely to train? (Check all that apply)

Combat Conditioning (5:00 PM - 5:45 PM)

Mixed Combat (6:00 PM - 7:00 PM)

I'm not sure. I need schedule flexibility.

How many sessions per week do you plan to train?

Less than 1 session per week

1 session per week

2 sessions per week

3 sessions per week

Support System + Readiness

Do you have a spouse or significant other involved in your decision-making?

I’m single and make my own decisions

Yes, and they support me

Yes, but they don’t support this decision

If Yes, can they attend this first meeting with you?

N/A

Yes, I'll bring them.

No, I'll come alone.

Do you make your own financial decisions?

Yes

It's Complicated

Whats a realistic monthly investment you’d consider for reaching your goals and learning real self-defense?

$100/mo

$200-$300/mo

$500-$750/mo

$1000+/mo

Let's Get Personal (Optional but Helpful)

What would need to change in your life or routine for you to call this program a success?

Are you preparing for a specific event or time frame? (Vacation, wedding, upcoming trip, recent life change?)

Are you currently dealing with any injuries, physical limitations, or past issues we should know about? This helps us keep you safe and build a plan to work around (or overcome) anything holding you back.

Is there anything personal you’re currently working through that we should be aware of or support you with? (e.g. recently attacked, recent trauma, PTSD, past/current abuse)