Ultimate U Registration Form

Gilad's 60 Day Fitness Challenge Registration and Completion Form
Please use this form for both your entry and 60 days later when you have completed the challenge.

The photos you submit will not be posted until you have finished the challenge.
I am..*

Entering the challengeFinishing the challenge
Your Name*

First NameLast Name
Your E-mail Address*
By sending a before picture you are offically entered into the challenge.
Before Photo

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Date you started the challenge

MonthDayYear
After 60 days, please come back to submit your after photo. This will make you eligable for the rewards. Please try to take your after photo in the same location and in a smiliar looking outfit.
I allow Bodies in Motion to use my before and after photo in their newsletter and on their website.
After Photo

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Cancelof
Date you finished the challenge

MonthDayYear
Comment
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Gilad's 60 Day Fitness Challenge Registration and Completion Form