SIGN UP & ASSESSMENT FORM

Instructions:

STEP #1 Registration: Complete this Sign Up & Assessment Form below and submit.

STEP #2 Payment: Choose the appropiate package and make a payment thru PayPal or Cash App (using $HJIrby2).

Phone Number: *

Name: *

Xtreme Advantage Sculpting Program:
Personalized online training and/or live video training workouts designed for muscle toning (sculpting), lean muscle building, strength & conditioning. Specialized advanced training & athletic conditioning programs are also available, please call for rates.

Xtreme Advantage Muscle Mass Program:
Personalized online training & nutritional guidance programs designed for muscle building, weight gain, strength & conditioning.

Select a Sculpting Workout Plan *

Your Height : *

Select a Live Video Training Workout Plan *

Xtreme Advantage Weight Loss Program:
Personalized online training, nutritional guidance and/or live video training programs designed for fat loss, muscle toning (sculpting), strength & conditioning. Specialized Xtreme Lean programs are also available, please call for rates.

Name:

LIVE VIDEO TRAINING & NUTRITION PLAN

Additional Info

Your Sex *

Male

Female

SCULPTING PROGRAM(Includes either a gym workout, home workout and/or live video workout)

* Please call for Live Video Training availibilty prior to purchasing.

WEIGHT LOSS PROGRAM(Includes either a gym workout, home workout and/or live video workout with nutrition plan)

* Please call for Live Video Training availibilty prior to purchasing.

Select a Weight Loss Program (includes workout & nutrition plan) *

MASS PROGRAM(Includes gym workout & nutrition plan)

Address, City, State, Zip : *

Choose which Online Training Program *

Home

Gym

None

Select a Muscle Mass Program (includes gym workout & nutrition plan) *

Your Age: *

Your Weight : *

Body Fat % :

Choose which Live Video Training Program *

Sculpting Workout

Weight Loss

None

Personal Training & MORE

SPECIAL OFFER