TOTAL BODY TRANSFORMATION CHALLENGE REGISTRATION FORM

First Name *

Last Name *

Age: *

Address: *

City or Town: *

Province: *

Postal Code *

Area Code *

Phone Number *

Email Address: *

REGISTRATION FEE *

FEE ($100 + $5 ADMIN FEE)

CLASS DIVISION

Weight (pounds) i.e. 156 lbs *

Height (feet/inches) i.e. 5'7" *

Chest (inches) *

Waist (inches) *

Hips (inches) *

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You can pay by Paypal or *Please send an email money transfer for $100 to figure@heatherleblanc.ca

Question: What is this for?

Answer: Registration

***ALL REGISTRATION FEES ARE NON-REFUNDABLE AND NON-TRANSFERABLE***