Stephanie Diehl Fitness

Online Bootcamp Application

The Online Bootcamp includes an Online Accountability Personal Training Group
Nutrition advice
Must be an EXISTING or NEW customer with Stephanie as your coach
Online Bootcamp participant assumes all risk before starting any workout and nutrition program. If unsure, seek authorization from your medical doctor
This Online Bootcamp is not sponsored by Beachbody

First Name

Last Name

Email Address

Phone Number (123) 456-7890

What is your current weight and your goal weight?

What date would you like to start the bootcamp?

6/5/2017

6/19/2017

7/3/2017

How do you feel online accountability coaching will help you reach your goals?

Will you commit to the online group and checking in daily?

Heck Yeah

I think So

Probably Not

Would you like to learn how to save with the VIP Membership?

Yes