Challenge dates: January 7th - March 16th
Contact us at - @tjmoats instagram - @tjmoatspt facebook
Sign in to Google to save your progress. Learn more
Email *
Name *
Email *
Phone Number *
Are you a current CAP Fitness Academy member? (Working with TJ personally on your training and/or nutrition) *
If not, would you like information on the CAP Fitness Academy app (includes Tn10 tracking)
Clear selection
What will your "diet" stipulations be? *
If "other" please list *
What are your primary goals/ what do you hope to gain from this challenge? *
This year we have shirts! If you want one please select an option below.
These will be printed on Bella+Canvas tees and delivered during the challenge. Short sleeve shirts are $25 and long sleeve is available for $30.                              Add $5 for shipping if you do not live in the west georgia area. Shirts must be paid for by January 7th.
If purchasing a shirt, please select short or long sleeve. You may select both if you want both.
Payment method
Clear selection
Paypal or venmo email/user name
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy