EmailMe Form - 6 Week Fitness Challenge

Name *

First Last

Email *

Phone *

### - ### - ####

Age *

Height *

Estimated Weight *

Gender *

Select your challenge date *

Select your pricing option:

$150 Challenge Includes:
* 6 Weeks Unlimited Classes
* If you attend 24 classes in 6 weeks, you win $150 back!!
* Customized Meal plan and Nutrition Seminar

$200 Challenge includes:
* 6 Weeks unlimited classes
* If you attend 24 classes in 6 weeks, you win $150 back at the end!!
* Customized Meal Plan and Nutrition Seminar
* The additional $50 is for measurements and body fat percent reading and you will have a chance to win the Grand Prize 3 Free Months + Cash Prize (minimum $125 - based on most % decrease in body weight and inches. The additional $50 is not refundable.

$300 Repeat Challenge (For those who have already participated in a challenge before)
*6 Weeks Unlimited Classes, meal plan and seminar
*Attend 24 classes and receive $150 back OR apply $300 to a 9 month contract.

$350 Repeat Challenge (For those who have already participated in a challenge before)
*6 Weeks Unlimited Classes, meal plan and seminar
*Attend 24 classes and receive $150 back OR apply $300 to a 9 month contract.
* The additional $50 is for measurements and body fat percent reading and you will have a chance to win the Grand Prize of one free year at the gym based on most % decrease in body weight and inches. The additional $50 is not refundable.

What are your fitness and nutrition goals? *