21-Day Summer Body Application Form
I'm looking for 5 people who want to lose weight and shed body fat for the beach this summer.

If you live outside of Oakland County, MI & this sound like you, please fill out the form below.
Email address *
Name *
Your answer
Do you live outside of Oakland County?
If you could change one thing about your body right now what would that be?
Your answer
Why do you want this? *
Your answer
Are you ready for this 21-day challenge? If yes, please explain why NOW is the time for you.
Your answer
Submit
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