KUTTABUL FITNESS

KUTTABUL FITNESS
10 Weeks Challenge Registration Form
Personal Details:
Full Name:

First NameLast Name
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email:
example@example.com
Phone:
Format: (000) 000-0000.
Emergency Contact Name:
Emergency Contact Phone:
Format: (000) 000-0000.
Challenge Details:
Challenge Dates: 19/04/2026 to 28/06/2026
What's Included:
- One small group personal training class each week for 10 weeks
- Unlimited general classes (19/04/2026 to 28/06/2026)
- Personalized fitness assessments at the start and end
- Group workouts focused on strength, cardio, and nutrition
- Access to private Facebook group for motivation
- Weekly weight and measure check ins
- Each participant will reciece a copy of the 10:10 Plan by Sarah Di Lorenzo, so you will have complete guidance you need through your 10 weeks journey.
- Full access to Sarah community page to support you with any further in depth questions about the 10:10 Plan.
- 4 group Sunday planned events away from Kuttabul Fitness locations to be confirmed
- 10 week Challege celebration dinner on Satriday the 4th of July to be confirmed of where atm
Cost: $299 (due by 31/03/2026)
Payment Details:
- Account Name: Sherilee Goodin
- BSB: 063097
- Account Number: 79415394
- Use your name as a reference
Terms & Conditions:
Please tick all boxes
Goals:
Please write down your main goals for the 10 Weeks Challenge. Examples: weight loss, muscle gain, improved fitness, strength, endurance, better sleep, more energy, stress reduction, etc.
Goal 1:
Goal 2:
Goal 3:
Photo Permission:
I DO NOT give permission for my photos/videos to be used for promotional purposes.
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KUTTABUL FITNESS

10 Weeks Challenge Registration Form

Personal Details:

Challenge Details:

Terms & Conditions:

Goals:

Photo Permission: