North Atlanta Adventure Boot Camp - Fitness - Rosa Hurst, Instructor
North Atlanta Adventure Boot Camp - Fitness
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For Current Boot Campers...

Nutrition Plans

Congratulations!

This is the first step in creating your customized nutrition plan. Carefully fill out the questionnaire below with as much detail as possible -- the more information we have, the more complete your plan will be.

We will use the information you enter to assess your nutritional requirements according to the standards set by the The Institute of Medicine of the National Academies of Science.

Note: There is a 48-hour turnaround time for nutrition plans.
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Customized Nutrition Plan Questionnaire
First and last name:
Address:
City:
State:        Zip:      
Date of birth:
Home phone:
Cell phone:
Work phone:
Fax number:
E-mail address:
Height: Feet Inches
Current weight: How much do you weigh now?
Target weight: How much would you like to weigh?
Body fat percentage: If you don't know, leave it blank.
Gender: Female       Male (skip next question)
Currently pregnant
or nursing:
Not pregant or nursing.
Pregnant.
Nursing.
Nutrition Plan:
One Month Meal Plan, $49. $10 Discount for Boot Campers!
        I have attended a North Atlanta Adventure Boot Camp.
        Last camp attended:
        Camp Coach:
One Month Meal Plan, $59.
        I have NOT attended a North Atlanta Adventure Boot Camp.
Current activity level:
Sedentary: little to no exercise and a desk job.
Lightly active: light exercise or sports, 1 to 3 days a week.
Moderately active: moderate exercise and/or sports or a physical job.
Extremely active: hard daily exercise and/or sports with a physical job.
Describe current
exercise regime:
Favorite foods:
Sample of current diet:
Current meal schedule:
Food allergies:
Foods you dislike:
Comments:

PAYMENT
    Please select your payment method:

 
Paying online with credit card.
Mailing check.

By submitting this form, you are agreeing to eat healthier!
Note: There is a 48-hour turnaround time for nutrition plans. Thank you!

 

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North Atlanta Adventure Boot Camp for Women • www.northatlantabootcamp.com • Atlanta, Georgia
For more information call 404-978-5362 or write to info@ironballet.com