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8 Week Better By The Week
January 12-Mar 9th
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* Indicates required question
First and Last Name
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
Your New Year Health Goal(s)
Your answer
Please schedule your scan on link:
Styku Body Scan Link
Your answer
How would you like to track your habits?
printed spreadsheet
email me an excel spreadsheet to fill in
Clear selection
How did you hear about the challenge
email
flyer
referred by a coach or trainer (please specify name on next question)
Other:
Clear selection
If you were referred by an employee, coach or trainer, please note name:
Your answer
How would you like to pay?
$25 entry fee - includes 1 styku body scan and weekly prize drawings
*
Venmo: @groll-familyfitness
Cash/Card @ front desk
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