Summer Sizzler Wellness Challenge

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name

occupation

phone number

why do you want to participate in the Summer Sizzler Wellness Challenge *

would like to lose weight

I want to gain energy

I want to curb my appetite/sweet tooth

I'm interested in the health benefits

Other:

One of the most important aspects of my Challenges, even above the weight loss, is the mental breakthroughs that occur! There are MANY ways to lose weight... but there is ONLY ONE WAY to KEEP it off... and that is by making a shift in the way you THINK about both nutrition and exercise... and MOST importantly, the way you think about YOURSELF and your potential! So, my question to you is this...WHY are you READY and WILLING to do what it takes to CHANGE!?

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