28 Day Kickstart Nutrition Challenge
Welcome to the Kickstart Nutrition Challenge (or KNC for short). This is going
to be an awesome month as we move through the challenge together! I am super
excited to have you join in with us.
Space is limited, so go ahead and fill out the information below so we can get you all signed and ready to go!
*If you have any questions, please feel free to email me at breakthroughfandw@gmail.com 
Sign in to Google to save your progress. Learn more
First and Last Name *
Email *
Cell Phone Number (this is for my use only and will only be used for a text message if I can't reach you via email)
Clear selection
Would you like to be a part of the Private KNC Facebook Group? This will be a great place for us to share how things are going and you will also see daily tips, videos, and recipes in this group. *
Devotional: Would you like to be part of a group using the Bible App (YouVersion)? We will be going through a 31 Day plan by Rick Warren called Habits of Happiness. We will connect via the app and share our thoughts in the comment section of each days devotional.
Clear selection
Are you currently receiving the BF&W Newsletter?
Clear selection
What are you looking forward to most while doing the Kickstart Nutrition Challenge? *
What would you say is your biggest hurdle right now when it comes to good, healthy nutrition habits? *
KNC Payment - $20 before 8/27th, $25 after *
Waiver: I am aware that: All information and workout routines provided by Breakthrough Faith and Wellness are of a general nature and are furnished only for educational/entertainment purposes only. No information is to be taken as medical or health advice pertaining to any individual's specific health or medical condition. You agree that the use of this information is at your own risk and hold Breakthrough Faith and Wellness harmless from any and all losses, liabilities, injuries, or damages resulting from and all claims. To reduce and avoid injury, you will want to check with your doctor before beginning any fitness program. By signing up for this program you are agreeing to the above waiver. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms