Challenge Registration
Event Start: January 7th
Contact us at (812)449-2373 or cfhbnutrition@gmail.com
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Name *
Email *
Height *
Age *
Weight *
Goal *
Goal weight *
Weekly purposeful exercise *
light(1-3 hours)
Intense (7-9 hours)
Daily activity level *
Light (office work)
Heavy (construction work)
Dietary restrictions *
Any other info we should know? Recent dieting experience? Allergies? Etc. *
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