30 Day Slay
90 Day Body Transformation
Bio
Success Stories
Shop
My Account
30 Day Slay
90 Day Body Transformation
Bio
Success Stories
Shop
My Account
No products in the cart.
0
Client entry
First Name
*
Last Name
*
Address
*
City
*
Dropdown
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
*
Email
Instagram (if applicable)
Program
*
90 Day Body Transformation
30 Days with J
Is this a renewal?
*
Yes
No
Training Start Date
*
Weight
*
Pre-Training Photo Upload
Front
*
Drop a file here or click to upload
Choose File
Maximum upload size: 67.11MB
Rear
*
Drop a file here or click to upload
Choose File
Maximum upload size: 67.11MB
Side
*
Drop a file here or click to upload
Choose File
Maximum upload size: 67.11MB
Meal Plan
*
Basic
Vegan
Pescatarian
Gym Access?
*
Yes
No
Which Gym?
*
If you have any gym equipment, please list:
*
Do you experience any discomfort when jumping?
*
Yes
No
Please list any food allergies:
Past Injuries:
Current Disabilities:
Please list all current medications, vitamins, and supplements:
Food likes
Food dislikes
How many sessions can you commit to completing each week?
*
NOTE: Your answer doesn't automatically determine the amount of sessions you'll be assigned with, this helps with customizing your program.
Extra notes for J Lopez
I've read and accept the 90 Day Transformation Agreement
*
Yes
If you are human, leave this field blank.
Submit
30 Day Slay
90 Day Body Transformation
Bio
Success Stories
Shop
My Account