HC Signature Fitness Application Form

I'm ready to take 21 days to build a new habit & 90 days to build a lifestyle with HC Signature Fitness!

Please complete the application form in full to see if you qualify for the program!

Full Name

Primary Goal: *

Weight Loss: At least 10-15lbs

Body Recomp: Lose less than 10-15lbs of body fat while building muscle

Build Muscle: Increase overall body weight

Improve Nutrition & Health: Maintain bodyweight

Athletic Performance: Optimal nutrition and little to no weight change

My biggest 3 struggles and/or worst habits preventing me from achieving my goals:

Do you currently and/or have any past injuries, illnesses, or severe limitations that will prevent you from performing high intensity bodyweight training? *

No, I'm ready, willing, and able to perform!

I have a few minor issues I need to deal with first!

Yes, I currently have injuries/illnesses/severe limitations

Are you willing to invest $200-267/month on a remote health & fitness program? *

21 Day Introductory Program $200 CDN

90 Day Maintenance Program $800 CDN

21 Day + 90 Day Program Offer (Save $200!)

I rather not invest in any of these programs.

Thanks for submitting!

Application Form: Sales Lead

HC Signature Fitness

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