Application process
Re-find your energy and confidence through exercise. Pre- registration form.
* Required
Name
*
Your answer
Email
*
Your answer
Phone number
*
Your answer
Why do you want to be part of this programme?
I want to be more confident in my own body
I want to increase my energy levels
I want to get in better shape
Other:
What would it mean to you if you achieved the above? How would life be different?
Your answer
On a scale on 1-10 how confident are you with your own body?
Not at all
1
2
3
4
5
6
7
8
9
10
Highly Confident
Clear selection
On a scale of 1- 10 how much energy do you usually have.
None - I am alwasy tired and lethargic
1
2
3
4
5
6
7
8
9
10
I have endless energy
Clear selection
I am happy for Lauren to contact me by phone and email regarding my application and be added to her mailing list for future offers.
*
Yes
No
This programme starts on the 4 or 5th October. What day/time works best for you for the live class - It will be 50 minutes via zoom (Please tick all that apply - I will try to satisfy the majority)
*
Monday 08:00
Monday 17:00
Wednesday -12:30pm - lunchtime
Sunday 10:00
Required
It's time to Quit Your Comfort Zone!
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