Weightloss Challenge Registration Form

Weightloss Challenge Registration Form

If you have an upcoming weightloss challenge event and you needed a form to use as your registration form then this is the right fit for you. Form Preview
  • Weight Loss Challenge Grahamstown/ Port Alfred & Surrounding Areas

    Kindly complete this Pre-Registration Form in order to secure your spot in the next Challenge.
  • Coach Kathy

  • Challenge sessions are one hour long on

    Mondays at 17:00 in Alexandria

    Mondays at 18:45 in Kenton

    Tuesdays at 17:00 and 18:30 in Grahamstown

    or Wednesdays at 17:15 and 18:15 in Port Alfred

    for the duration of 12 weeks

    The Weight Loss Challenge is great and here are some of the benefits and details

    We run it for 12 weeks
    In Port Alfred, Grahamstown, Alexandria and Kenton
    With education on different topics about nutrition, weight loss and healthy living every week.
    We have weekly prizes and Grand prizes at the end.
    Great Support and lots of fun
    You get a weight loss coach
    You get a goodie Bag to the value of R400 for FREE (one week after registration)
    You get 3 Body assessments to the value of R400 each FREE
    You get a meal plan (Emailed within 24 hours of registration)
    Access to our Whatsap support group
    Biggest loser is based on percentage of body weight lost so all sizes have the opportunity to win
    Note: We do not do exercise at the Weight loss Challenge - Although we do cover it in our classes.

    Price: R500 for the challenge

    Venue: Alexandria Christian Academy in Alexandria

    Kenton Methodist Church Hall in Kenton

    Albany Sports Club, Florence Street, Grahamstown

    The Lodge, Albany Road, Port Alfred

    Everyone is welcome, so invite your bestie, neighbours, family or work colleagues… So once you registered please feel free to send them the link so that they can also register.

    Join Now, Fill in the pre registration form below!

  • Remember to like our facebook page

    https://www.facebook.com/wellnesscoachpagtown/
  •  -  - Pick a Date

  • In order for us to find out what your Goals are, please specify below what you are expecting from this challenge, and why?

  • Please list 3 friends or family who you think would benefit from joining you for this 12-week challenge.

    Please list Name and contact number.

    Eg: Nadia Delport, 081 580 9618

  • NOW THAT THE HARD WORK IS DONE

    CLICK THE LINK BELOW TO REGISTER

  • Disclaimer:

    Weight Management Program disclaimer: All weight loss claims include, amongst other things, a calorie-controlled diet, an adequate daily fluid intake and appropriate rest. No medical claims of any nature are made or intended in any of the stories submitted. The results will vary from person to person and are not guaranteed.

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