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X-TREME BOOTCAMP INFO REQUEST
Please fill in the blanks to better assist you.

*indicates required fields 
  *NAME:
  *ADDRESS:
  *ZIP CODE:
  *PHONE:
  *EMAIL:
  FITNESS LEVEL:  I don't workout
 I workout somewhat
 I workout three times a week
 I workout daily
  FITNESS GOAL:  I want to lose weight
 I want to improve endurance
 I want to tone my body
 I want to gain confidence
  EATING HABITS:  I eat whatever I want
 I watch what I eat
 I eat healthy meals
  QUESTIONS:

X-treme Bootcamp Fitness
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