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Exclusive FALL FORWARD Challenge Application
Complete the application with as much detail as possible to help me better serve you during this challenge.
The fee for this 30 day challenge is $195. Dates: September 14- October 14, 2020.
Enrollment is LIMITED so get your form and payment in ASAP!
Sign in to Google to save your progress. Learn more
Your First & Last Name *
Phone Number *
Age *
Email Address *
Occupation *
What are your specific & current health & fitness goals? (Be as detailed as possible) *
On a scale from 1-5 how important is it for you to reach these goals? (1 being not important at all. 5 being very important) *
Why is it important for you to join this challenge? *
Are you ready to do whatever it takes to reach your goals during this challenge? The more ACTION you take, the GREATER your RESULTS! *
Chose Payment Type (Once your payment is received, you'll get an email confirmation with complete details of the challenge) *
Submit
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