Let's Get Up!
Please complete this form so I can connect with you and send you more details for our next Fitness Group that is great for all fitness levels! If you like quick and effective workouts, this may be for you! You don't have to be perfect. You just have to be consistent! That's what I'm here for....to help motivate and encourage you to take the steps everyday until you reach your goals!

As soon as you register here, I'll get more info sent out to you along with a sample workout to try as well if you want!
First Name *
Last Name *
Email *
What's your Facebook Profile URL?
*(copy/paste the url link from your profile page. Ex: www.facebook.com/jackie.d.kent)



Please tell me a little about your goals? Do you want to lose weight (if so, how much), tone up, eat better, gain more energy, improve your self-confidence, etc.? *
How do you see yourself 90 days from now *
What types of exercise do you enjoy? Please check all that apply! *
Required
How is your nutrition? *
How would you rate your current fitness level? *
Are you in: *
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