If you’re in the Spokane, Liberty Lake and Post Falls area, with 10 plus pounds of stubborn fat,

this is YOUR moment. Apply NOW through September 19

First Name *

Last Name *

Email *

Phone *

City *

What are your goals? *

Why is that important to you? *

Do you have more than 10 pounds of fat to lose? *

Will you attend an average of 3 or more classes per week? *

Why should you be chosen for the program? *

Were you nominated by someone to apply? Share that persons name!

What is the first and last name of a friend you want to nominate? (more details on the next page)

If you have a social media handle, what is it?