Email * Name * First Name Last Name City Date of Birth * MM DD YYYY Height * Weight * Please describe your interest in joining Kaizen Barbell. * What is your experience in the sport of weightlifting? * Please describe your sport and athletic background. * Have you sustained any injuries in the past? * Are any of the injuries current or ongoing? * What are your goals in the sport of weightlifting? Short term? Long term? * Best Snatch: * Best Clean & Jerk: * Best Back Squat: * Best Front Squat: * Do you anticipate having any trouble/pain performing any of the competition lifts or main accessories? * Are you currently training? * If so, how many times a week are you currently training? * What do you feel your strengths would be/are in weightlifting? * What do you feel your weaknesses would be/are in weightlifting? * What do you feel is currently preventing you from lifting more weight? * Do you have any future competitions planned? If so, when? * Thank you for your time! We will reach out to you as soon as we review your form. Join Kaizen BarbellIf you would like to consider joining Kaizen Barbell, please complete the form on this page.