LETs GET #SHORESTRONgRegister below for private coaching sessions with ShoreStrong Director, Alexa Gershon Name * First Name Last Name Date of Birth * MM DD YYYY Parent/Guardian Name First Name Last Name Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Private Coaching Package * Wellness Coaching Package Fitness Coaching Package Please choose one: We will submit the payment through Venmo to @gershonalexa We will submit the payment through Zelle to director@shorestrongsummer.com How did you hear about us? Google Friend/Relative Social Media Other If referred by someone, please share their name below First Name Last Name Thank you!