First Name *

Last Name *

Phone *

Email *

City *

State *

Postal Code

Are you currently based in the United States? *

Yes

No

Are you age 50 or older? *

Yes

No

Do you currently train clients age 50+? *

Yes – primarily 50+

Yes – but mixed ages

No – but I want to

No

How many years have you been training?

Primary Certification(s) (NASM, ISSA, ACE, etc.)

Additional Certifications (Senior Fitness Specialist, Nutrition, etc.)

Are you CPR/AED certified?

Yes

No

Do you carry liability insurance?

Yes

No

Do you train:

In-person only

Online only

Hybrid

Primary training location

Do you own your own facility?

Yes

No

Average monthly client load

Are you currently accepting new clients?

Yes

No

What do you specialize in?

Weight loss

Strength training

Men’s physique

Women’s transformation

Mobility / joint health

Post-rehab

Hormone optimization

Competition prep

General health

Other

If Other, please specify

What makes you uniquely qualified to train clients 50+?

Share a short bio (100–200 words for your directory profile)

Upload Professional Headshot *

Upload 1–3 Transformation Photos *

Why do you want to be featured in the 50for50 Club directory?

Are you interested in:

Free Basic Listing

Premium Featured Placement ($49.99/month)

Elite City Placement ($79.99/month)

Founding 500 Lifetime Badge ($149 one-time)

If approved, are you willing to participate in a short weekly webinar introducing yourself to prospective 50+ clients?

Yes

No

I confirm all information provided is accurate.
I agree to be contacted regarding directory placement and client opportunities.

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