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Model Application Form
Applicants for models of L.A. Fat Freeze
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Email
*
Your email
First and Last Name
Your answer
Age
Your answer
Gender
Your answer
Email
Your answer
Phone Number
Your answer
Modeling Program (Choose 1)
Skinny Waist
Flat Tummy
Thin Arms
Flat Lower Back
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I am 10-25lbs away from my goal weight
Yes
No
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I am/will be on a calorie deficit or calorie neutral diet during my time as a model
Yes
No
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I will follow all aftercare instructions to the best of my ability, including daily massage and maintaining or improving my diet and exercise regimen
Yes
No
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I understand I am allowed to reschedule once with 72 hours notice
Yes
No
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I understand that applicators cannot be transferred to future sessions
Yes
No
I consent to pictures and measurements being taken at each session and used for advertising, and understand that any defining features, such as tattoos, will be blurred out
Yes
No
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I understand that in order to achieve the best results, I will follow all of the above, and that all appointments must be at least 4 weeks apart.
Yes
No
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Please text me at 213 935 5700 once you've submitted your application
Sounds great!
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