Pre-application for Realign Online

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Thank you for showing interest in my new online program soft launch.
Wanting to stay connected truly shows you are serious about achieving long-lasting heath, and that you trust me doing my best to support you through your personal journey.
Please fill in the following so I can direct you towards the next steps.

Name *

Email *

Which programs are you interested in? *

Not sure. Would like to discuss.

Nutrition

Building Progressive Strength

Habits

The bundle (all the programs above)

Alignment Exercises

Required

This program will be mobile app based. Which mobile device you use? *

iPhone

Android

Apple watch (you will be able to record most things through your apple watch)

Required

Do you use any other apps/ devices to track/record your physical activity, nutrition or sleep? Please list them below.

Are you able to pay by credit card or Paypal? *

Yes

No, I need to discuss

Are you ready to jump in? *

Not quite. I want to learn more about it before making a decision.

Yes

If you have any questions regarding the programs, payments, etc., please state them below. *

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