Application form for New Farm people, 30-55, who want to lose 5-10kgs and run a fun run personal best this year!
First Name
 
Last Name
 
Email Address
 
Phone Number
Gender
Birth Date
What are your goals for the next 3 months?
How committed are you on a scale of 1 to 10?
What things are most important to you?
What sorts of things would you like to accomplish?
How long did it take you to gain this weight?
What's your favourite movie, tv show & band?
Injuries and Health Conditions
Are you wiling to invest $200-$800 per month?
Anybody else involved in your decision to join?