determiNation 21 Day Fix Application Form
What is your full name?
WHY do you want to participate in this challenge?
Have you participated in one of Amy's Challenge Groups before?
Are you willing to share a before/after picture?
Are you willing and able to check into the group once a day Monday through Saturday?
No (I'll try is NOT an option.)
Are you willing to try new foods if you are a picky eater?
Yes, I'm desperate, I'll do anything!
No, I just can't do it...
I'll plug my nose and chase it with water if I have to!
Please tell me ONE THING you are willing to GIVE up, ONE BAD HABIT to be successful in this group!
Are you will to commit to working out 30 minutes a day, 6 days a week?
What workout program do you plan to use for this challenge? (Please indicate if you'd like help selecting one!)
If you NAIL this challenge group and are not an existing coach would you like more information on how to become financially free?
We'll see how I feel after the challenge
What is your email address?
Do Not Fill This Out