SHIFT

Application Form

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First Name *

Last Name *

Email *

Phone *

Country *

Enter your country

Region *

Do you have any current health problems or injuries? Please list below. *

What is your biggest struggle in when it comes to your health journey? *

What is your #1 health & fitness goal right now? *

I understand that I must watch the Nutrition Setup Guide to learn how to calculate and set up my recommended calories *

I understand and agree

I understand that I need a Facebook account to access and participate in the challenge, and that I am responsible for checking the private Facebook group daily for challenge updates *

I understand and agree

I understand that the free 14-Day Challenge is not suitable for everyone. If I have disclosed a medical condition or health concern that requires individualised support, I understand that I may not be eligible to participate and may instead be offered a free online call with our client care coach. *

I understand and agree

I understand that I am responsible for using the JCN App Content Library to access the nutrition, training, education and other challenge resources provided to me. *

I understand and agree

I understand that the JCN team cannot be contacted via direct messages within the app for this challenge. If I have a question or require assistance, contact must be made via email to [email protected]. *

I understand and agree

I consent to receive SMS messages from JAKE CAMPUS NUTRITION about my 14-Day Challenge and marketing, including offers and updates. Message frequency varies. Message & data rates may apply. Reply STOP to opt out. *

I understand and agree

At the end of your 14 day challenge, we will be offering members a free results call with our client care coach to discuss your results & what goals you want to focus on next.