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Rock THAT Frock - save my spot
Congratulations on taking action and making the first step towards achieving the body and life you desire. By filling in this form we will get a better understanding of your needs and make sure you are a right fit for our program.
Scroll down and fill in your details to get started.
Name
*
First
Last
Email
*
Phone
*
City
*
How much weight do you want to loose?
*
1-5kg
5-10kg
10-20kg
What has stopped you achieving your goals in the past?
*
On a scale of 1-10 how committed are you to achieving your goals? (1 being Not Very; 10 being VERY)
*
What are your top 3 health and fitness goals?
*
Why do you want to take part in this challenge?
*
What's the best time to call you?
*
Morning
Lunchtime
After work (6pm - 8pm)
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