Last Chance Fitness Group Application

Registration Fee: $60

Goal:

-Reaching our target weight and healthy BMI.

Rules:

-No recent weight-loss surgeries.

-No recent weight-loss injections.

-No appetite suppressants.

-Weight-loss must be natural.

-Must send periodic evidence of weight loss to our website.

-Prize available for 1st, 2nd, and 3rd place winners.

Registration Fee: $60

Goal:

-Reaching our target weight and healthy BMI.

Rules:

-No recent weight-loss surgeries.

-No recent weight-loss injections.

-No appetite suppressants.

-Weight-loss must be natural.

-Must send periodic evidence of weight loss to our website.

-Prize available for 1st, 2nd, and 3rd place winners.

Today's Date *

Full Name *

Age *

Email *

Phone Number *

Male or Female? *

Male

Female

Initial Weight (In Pounds) *

Height (Ex: 5'4) *

Target Weight (In Pounds) *

Are you medically cleared to participate in intense workouts? *

Yes

No

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