OWC Registration Form

Online Wellness Challenge Registration
The newest Online Wellness Challenge will kick off on the 6th of December for 12 days, and will be held via a private Facebook Group!

Youre next steps:

1. Complete this registration form & pay the $12 entry fee (clicking "submit" will take you straight there).

2. Set your goals (with your coach, me!).

3. You will be added to the Group.

Then, just get ready to feel your best!
Your Information
Name

First NameLast Name
FaceBook Name
(If different to above)
E-mail
example@example.com
Which Herbalife coach has introduced you to this challenge?
Have you purchased your Nutrition program?
What is your main motivation for joining the Challenge?
What is currently holding you back from becoming the best version of yourself??

How ready are you to make the changes over the next 21 days to achieve your goals?

	1	2	3	4	5

1 is Not Very, 5 is Absolutely Ready!

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM COMMITTING TO BEING AN ACTIVE PARTICIPANT WITHIN THE GROUP. I AGREE TO POST ENCOURAGING CONTENT, AND AGREE TO SUPPORT OTHERS BY CONTRIBUTING IN A POSITIVE WAY.
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