Photo/Weigh-In Submission Form
Full Name
*
First Name
Last Name
Email
*
Current Weight (LBS)
*
Please list starting weight here.
Phone Number
*
Challenge Before Photo 1
*
Upload a File
Please Upload Photo #1 Frontal Photo holding current day newspaper. Photos should be from head to toe.
Cancel
of
Challenge Before Photo 2
*
Upload a File
Please Upload Photo #2 Side Facing Right (without newspaper) Photos should be from head to toe.
Cancel
of
Challenge Before Photo 3
*
Upload a File
Please Upload Photo #3 Side Facing Left (without newspaper) Photos should be from head to toe.
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of
Weigh-In Location
*
Please enter where your weight was verified.
Who recorded your weight?
*
Name, Company, Title, Contact Number
Send
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