Path to Health Challenge Agreement
Lose weight and Gain a healthier you!

In the upcoming Quaresma (Lent) Period we want to challenge YOU to a Healthier YOU!

We are inviting you to join us in choosing a healthy lifestyle for a period of 40 days!!!

The Challenge starts February 10 and ends March 25!!!

By following our 40-day program and maintaining the healthy diet and exercise regimen, you will earn the chance to win $$$ cash!!

To participate in the Path to Health Challenge, you must first complete and submit this registration form by JANUARY 29! When ready, start the 40-Day program (http://primerohealth.org/path-health-challenge). Follow the daily plan and maintain the diet and exercise regimen for 40 days.

If you have any questions please EMAIL us or CALL us!!

primerohealth1701@gmail.com
512-433-1796



Today's date: *
MM
/
DD
/
YYYY
First Name *
Your answer
Last Name *
Your answer
Address
Your answer
Projected start date:
MM
/
DD
/
YYYY
Height (inches):
Your answer
Weight:
Your answer
Waist line (inches):
Your answer
Please checking box below I agree to enter challenge.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy