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Campbellville, ON
jeanne@loveforfitness.ca

BUILDING HEALTHY HABITS CHALLENGE

Please fill out the registration form below.

Once submitted, please allow 24 hrs to receive an email to confirm your spot in the challenge.

First Name

Email Address

Last Name

Date of Birth

What is your goal for this challenge? *

Manage weight

Improve overall health

Prevent future illness

Improve physical fitness

Improve habits

Are you willing to develop a growth mindset with respect to your health & fitness goals? *

Yes

No

Are you willing to develop your ability to practice self-control/disapline? *

Yes

No

Are you willing to be vulnerable regarding the things that are truly challenging you? *

Yes

No

I declare that the info I’ve provided is accurate & complete

Thanks for registering!

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