Sign Up Form

*** PLEASE NOTE ***

This form only needs to be completed on your initial sign up.

You do not need to complete it to continue with the monthly subscription, unless your circumstances have changed e.g. your activity levels have significantly increased or dropped. Weight loss does not mean we should reduce our calories. I would advise re-visiting your calorie requirements, if you have had a significant loss and your progress has stalled for a number of weeks despite consistency.

Name

First Name

Last Name

Age

Weight in kg

Please Google conversion if you generally use a different metric.

Height in cms

Please Google conversion is you generally use a different metric.

Goal

Please be aware I cannot set fat loss calories for someone if I do not deem it as healthy to do so.

Activity

Please write 1-2 lines on your general activity levels. If you workout, please give a short summary (how long, how many times a week etc.).

Fitness Program Only

On average how many workouts will you do a week?

Any information that may be relevant to your energy needs: breast feeding, physically demanding job etc.

I confirm I have read and agree to the terms and conditions

Tick the box

Yes

Reminder:

You should not sign up for this plan without consulting with your doctor if you have any health concerns. It is assumed that you are fit and healthy if you do sign up.