Name *

First Name

Last Name

Phone *

(###)

###

####

Age Range *

25-35

36-45

46-55

For the Beta Launch Group I am looking for 10 women who are 100% committed and ready to invest physically, mentally, and financially in themselves. If you are unsure please hold off for now, rather sign up for my email list so that you will be the first to know when the program officially launches. *

I understand the above.

The Beta Launch Group price is $500, which is more than half off what the official launch price will be. Are you ready and willing to pay for access? *

Yes, I am ready to invest $500 in myself!

No, I am not ready to invest $500 in myself.

The Beta Launch Group is heavily discounted in exchange for honest feedback and testimonials at the end. Are you willing to submit weekly feedback, a testimonial, and before/after pictures (face does not have to be shown)? *

Yes, can't wait!

No.

Are you 100% committed to completely the full 10 weeks? 6 weeks of the Release Phase & 4 weeks of the Maintenance/Transition Phase. *

Yes, 100% committed and ready!

No, unfortunately I am not ready.

Which program option are you interested in? *

Option 1: $1,000 - includes a comprehensive bloodwork panel that looks at over 70 markers and a 60 minute in depth review of your results. Please note that the draw centers are located in Kalispell or Missoula. Supplements are not included in the program price, you will be responsible for ordering the supplements separately. It is listed here to let me know if you are looking to maximize your results. Supplement costs range from $150-$500 depending on which ones and how many you would like to add on. Option 2 - $500 - Supplements are not included in the program price, you will be responsible for ordering the supplements separately. It is listed here to let me know if you are looking to maximize your results. Supplement costs range from $150-$500 depending on which ones and how many you would like to add on. Option 3 - $500 - no additional add on's. The option you chose will have no bearing on whether you are chosen or not. So please only select what you are truly comfortable with.

Option 1 - Program with added on bloodwork & supplements

Option 2 - Program with added on supplements

Option 3 - Just the program

If chosen for the Beta Launch group, would you rather have the weekly meetings be in-person or via Facebook live's where you can go back and watch them at your convenience? *

During the meetings we will cover the weekly topic, do Q&A, and share amongst each other the wins for the week.

In-person Meetings (held somewhere in downtown Polson)

Facebook Live

If you chose weekly in-person meetings, what day/time works best for you to 100% commit to for 1-1.5 hours? *

Weeknights (after 5pm)

Weekends (morning/early afternoon)

Chose Facebook Live