I understand and agree that behavior/habit modification is one of the most important aspects to reach my goals and to long term permanent weight loss and body sculpting. If I smoke and/or drink and I am unable to abstain from these the day before, on and after my session, then I understand I am automatically disqualified from participating in this program. I also understand that I must agree to 8 or more behavior/habit modifications from the items above in order to qualify to participate in this program. Lastly, I agree to adhere to these behavior/habit modifications along with following the complete program guidelines to the best of my ability and if I struggle I will let my coach and my weight loss or body sculpting partner(s) know so they can hold me accountable to reach my goals.
I also acknowledge that my coach's measurements were fair and accurate and that I have read and agree to the inputed measurement data and the terms within this form.