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
Injuries and Health Conditions
What's your favourite movie?
What's your favourite TV show?
Your goals for the next 3 months
Why did you choose to apply?
Why do you think we can help?
Are you wiling to invest $200-$800 per month?
How committed are you on a scale of 1 to 10?
Anybody else involved in your decision to join?