First Name *
Last Name *
Age *
Email *
City *
State *
Relationship status *
Do you have kids? Ages? *
Cell Phone *
Facebook *
Instagram *
How would your friends describe your personality? *
What is/was your motivation behind your weightloss/fitness journey? *
Please submit a video briefly telling us about your journey. *
What are some to the challenges you faced?
Who in you life is your biggest cheerleader? How have they supported you through this journey? *
What are the past and present struggles you've faced that has gotten you to where you are today? *
What is or has been the most difficult part about your weightloss/fitness journey? *
How much weight did you lose overall? *
Through your weightloss journey, have you or how do you hope to inspire others? *
Was your weight loss all natural? If not, what did you use to help you and why? *
Is there an event coming up this year that you are getting fit for.
What were/are your ultimate weight loss/fitness goals? *
Have you done any other national tv shows - if so which ones?
Please submit a full body before photo. *
Upload a full body photo, after initial weightloss. *
What is your current work out routine? *
How did you hear about us? *
TERMS OF USE AND PRIVACY POLICY. *
I READ AND AGREE TO THE TERMS OF USE AND PRIVACY POLICY AGREEMENTS.