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[contact-form][contact-field label=’Are you Serious about committing to exercising and eating 5-6 days a week?’ type=’select’ required=’1′ options=’Yes,Not Sure,No’/][contact-field label=’What is your Motivation for joining this Challenge?’ type=’textarea’ required=’1’/][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Phone Number’ type=’text’/][contact-field label=’What are your Fitness Goals?’ type=’textarea’ required=’1’/][contact-field label=’Fitness / Nutrition Challenge Packs range from $140 to $205. Are you ready to invest in your health?’ type=’textarea’ required=’1’/][contact-field label=’What have you tried in the past to lose weight and become healthier?’ type=’textarea’/][contact-field label=’Do you have any dietary or physical restrictions? ‘ type=’textarea’/][contact-field label=’When will you be ready to commit to your Health and Fitness?’ type=’select’ required=’1′ options=’As soon as possible,Within 30 Days,Not Sure’/][/contact-form]

In This Together,

Coach Eric Hollingsworth
P90X, PiYo Certified Fitness Coach

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