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Self Care Kickstart: Enrollment with Be Well Community Fitness
a few simple questions when you're interested in our online bootcamps, we'll be in touch after!
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First Name
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Last Name
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Your answer
Email
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Your answer
Phone
Your answer
Name on Facebook/Instagram Handle
*
Your answer
What is your goal in Continuing/Starting a Health Journey
*
Self confidence
Increased energy
Stress Relief
Long term weight loss
Muscle gain
Weight gain
Other:
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How did you find out about this challenge
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Instagram Stories
Referral from a friend
If you were referred or inspired by a current client-- please list their name below!
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What's the best way to contact you (phone, email, IG or FB msg)
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