FREE 5 Day Butts and Guts Challenge

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We are having a FREE 5 Day Group that begins Monday, February 8 on Facebook and we would love to have you join us. All we need is a little info to enter into our group. Please send this to your friends and ask them to join you as well! It will be a lot of motivation, support, goal setting, and prizes for participating. See you next week!

Email *

Option 1

First Name *

Last Name *

Exact Facebook Name or URL (this is the only way I can add you to our group) *

If you were referred to this group, who was it that referred you?

Only if this your first time joining one of Jackie Kent's groups.

Are you currently working with a Beachbody Coach besides Jackie Kent? *

Yes, Jackie Kent

Another Coach on Jackie's Team

Other:

Please describe your current fitness level and any long term goals you may have. *

What are some of your more specific goals over the course of this 5 day group? *

How would you rate your nutrition on average on a scale of 1-10 (1 being horrible and 10 being perfect)? *

What do you do for exercise? *

Walk

Swim

Run

Bike

Workout DVD's

Beachbody Workout Program (i.e. 80 Day Obsession, 21 Day Fix, PiYo, 22 Minute Hard Corps, LIIFT4,etc.)

Nothing at the moment

Other:

Required

Would you like for me to be your Free Beachbody Coach? If yes, I will send you an email to complete the enrollment and you will have access to all my free groups as well as awesome Health and Nutrition Tips on the Beachbody Website! *

Yes

Maybe

Are you interested in joining me as a Coach for a Part-time job from home? *

Yes.......Absolutely!

No......Not right now

Maybe.....send me some info!

Send me a copy of my responses.

Submit

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