Reps and Runs Online Application Form What is your best email? If you use instagram, what is your instagram handle or username? Say no, if not on instagram. What is your contact number (be rest assured you would never get any unnecessary texts or calls from us) What is your full name? What is your gender? Male Female What is your age? Which country are you in? Afghanistan Akrotiri Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Ashmore and Cartier Islands Australia Austria Azerbaijan Bahamas, The Bahrain Bangladesh Barbados Bassas da India Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Clipperton Island Cocos (Keeling) Islands Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Cook Islands Coral Sea Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Dhekelia Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Europa Island Falkland Islands (Islas Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern and Antarctic Lands Gabon Gambia, The Gaza Strip Georgia Germany Ghana Gibraltar Glorioso Islands Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City) Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Jan Mayen Japan Jersey Jordan Juan de Nova Island Kazakhstan Kenya Kiribati Korea, North Korea, South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova Monaco Mongolia Montserrat Morocco Mozambique Namibia Nauru Navassa Island Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paracel Islands Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Spratly Islands Sri Lanka Sudan Suriname Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tromelin Island Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands Wake Island Wallis and Futuna West Bank Western Sahara Yemen Zambia Zimbabwe What is your height? 3 feet (91.44 cm) 3 feet 1 inch (93.98 cm) 3 feet 2 inches (96.52 cm) 3 feet 3 inches (99.06 cm) 3 feet 4 inches (101.6 cm) 3 feet 5 inches (104.14 cm) 3 feet 6 inches (106.68 cm) 3 feet 7 inches (109.22 cm) 3 feet 8 inches (111.76 cm) 3 feet 9 inches (114.3 cm) 4 feet (121.92 cm) 4 feet 1 inch (124.46 cm) 4 feet 2 inches (127 cm) 4 feet 3 inches (129.54 cm) 4 feet 4 inches (132.08 cm) 4 feet 5 inches (134.62 cm) 4 feet 6 inches (137.16 cm) 4 feet 7 inches (139.7 cm) 4 feet 8 inches (142.24 cm) 4 feet 9 inches (144.78 cm) 5 feet (152.4 cm) 5 feet 1 inch (154.94 cm) 5 feet 2 inches (157.48 cm) 5 feet 3 inches (160.02 cm) 5 feet 4 inches (162.56 cm) 5 feet 5 inches (165.1 cm) 5 feet 6 inches (167.64 cm) 5 feet 7 inches (170.18 cm) 5 feet 8 inches (172.72 cm) 5 feet 9 inches (175.26 cm) 6 feet (182.88 cm) 6 feet 1 inch (185.42 cm) 6 feet 2 inches (187.96 cm) 6 feet 3 inches (190.5 cm) 6 feet 4 inches (193.04 cm) 6 feet 5 inches (195.58 cm) 6 feet 6 inches (198.12 cm) 6 feet 7 inches (200.66 cm) 6 feet 8 inches (203.2 cm) 6 feet 9 inches (205.74 cm) 7 feet (213.36 cm) 7 feet 1 inch (215.9 cm) 7 feet 2 inches (218.44 cm) 7 feet 3 inches (220.98 cm) 7 feet 4 inches (223.52 cm) 7 feet 5 inches (226.06 cm) 7 feet 6 inches (228.6 cm) 7 feet 7 inches (231.14 cm) 7 feet 8 inches (233.68 cm) 7 feet 9 inches (236.22 cm) 8 feet (243.84 cm) 8 feet 1 inch (246.38 cm) 8 feet 2 inches (248.92 cm) 8 feet 3 inches (251.46 cm) 8 feet 4 inches (254 cm) 8 feet 5 inches (256.54 cm) 8 feet 6 inches (259.08 cm) 8 feet 7 inches (261.62 cm) 8 feet 8 inches (264.16 cm) 8 feet 9 inches (266.7 cm) 9 feet (274.32 cm) What is your weight? 20 kg 21 kg 22 kg 23 kg 24 kg 25 kg 26 kg 27 kg 28 kg 29 kg 30 kg 31 kg 32 kg 33 kg 34 kg 35 kg 36 kg 37 kg 38 kg 39 kg 40 kg 41 kg 42 kg 43 kg 44 kg 45 kg 46 kg 47 kg 48 kg 49 kg 50 kg 51 kg 52 kg 53 kg 54 kg 55 kg 56 kg 57 kg 58 kg 59 kg 60 kg 61 kg 62 kg 63 kg 64 kg 65 kg 66 kg 67 kg 68 kg 69 kg 70 kg 71 kg 72 kg 73 kg 74 kg 75 kg 76 kg 77 kg 78 kg 79 kg 80 kg 81 kg 82 kg 83 kg 84 kg 85 kg 86 kg 87 kg 88 kg 89 kg 90 kg 91 kg 92 kg 93 kg 94 kg 95 kg 96 kg 97 kg 98 kg 99 kg 100 kg 101 kg 102 kg 103 kg 104 kg 105 kg 106 kg 107 kg 108 kg 109 kg 110 kg 111 kg 112 kg 113 kg 114 kg 115 kg 116 kg 117 kg 118 kg 119 kg 120 kg 121 kg 122 kg 123 kg 124 kg 125 kg 126 kg 127 kg 128 kg 129 kg 130 kg 131 kg 132 kg 133 kg 134 kg 135 kg 136 kg 137 kg 138 kg 139 kg 140 kg 141 kg 142 kg 143 kg 144 kg 145 kg 146 kg 147 kg 148 kg 149 kg 150 kg 151 kg 152 kg 153 kg 154 kg 155 kg 156 kg 157 kg 158 kg 159 kg 160 kg 161 kg 162 kg 163 kg 164 kg 165 kg 166 kg 167 kg 168 kg 169 kg 170 kg 171 kg 172 kg 173 kg 174 kg 175 kg 176 kg 177 kg 178 kg 179 kg 180 kg 181 kg 182 kg 183 kg 184 kg 185 kg 186 kg 187 kg 188 kg 189 kg 190 kg 191 kg 192 kg 193 kg 194 kg 195 kg 196 kg 197 kg 198 kg 199 kg 200 kg 201 kg 202 kg 203 kg 204 kg 205 kg 206 kg 207 kg 208 kg 209 kg 210 kg 211 kg 212 kg 213 kg 214 kg 215 kg 216 kg 217 kg 218 kg 219 kg 220 kg 221 kg 222 kg 223 kg 224 kg 225 kg 226 kg 227 kg 228 kg 229 kg 230 kg 231 kg 232 kg 233 kg 234 kg 235 kg 236 kg 237 kg 238 kg 239 kg 240 kg 241 kg 242 kg 243 kg 244 kg 245 kg 246 kg 247 kg 248 kg 249 kg 250 kg 251 kg 252 kg 253 kg 254 kg 255 kg 256 kg 257 kg 258 kg 259 kg 260 kg 261 kg 262 kg 263 kg 264 kg 265 kg 266 kg 267 kg 268 kg 269 kg 270 kg 271 kg 272 kg 273 kg 274 kg 275 kg 276 kg 277 kg 278 kg 279 kg 280 kg 281 kg 282 kg 283 kg 284 kg 285 kg 286 kg 287 kg 288 kg 289 kg 290 kg 291 kg 292 kg 293 kg 294 kg 295 kg 296 kg 297 kg 298 kg 299 kg 300 kg 301 kg 302 kg 303 kg 304 kg 305 kg 306 kg 307 kg 308 kg 309 kg 310 kg 311 kg 312 kg 313 kg 314 kg 315 kg 316 kg 317 kg 318 kg 319 kg 320 kg 321 kg 322 kg 323 kg 324 kg 325 kg 326 kg 327 kg 328 kg 329 kg 330 kg 331 kg 332 kg 333 kg 334 kg 335 kg 336 kg 337 kg 338 kg 339 kg 340 kg 341 kg 342 kg 343 kg 344 kg 345 kg 346 kg 347 kg 348 kg 349 kg 350 kg 351 kg 352 kg 353 kg 354 kg 355 kg 356 kg 357 kg 358 kg 359 kg 360 kg 361 kg 362 kg 363 kg 364 kg 365 kg 366 kg 367 kg 368 kg 369 kg 370 kg 371 kg 372 kg 373 kg 374 kg 375 kg 376 kg 377 kg 378 kg 379 kg 380 kg 381 kg 382 kg 383 kg 384 kg 385 kg 386 kg 387 kg 388 kg 389 kg 390 kg 391 kg 392 kg 393 kg 394 kg 395 kg 396 kg 397 kg 398 kg 399 kg 400 kg What is your goal? Weight loss Fat loss Muscle building Body recomposition (Muscle building/maintenance + Fat Loss) Why is your goal important to you? What is stopping you from achieving your goals? How many days can you devote to physical activity in a week? 1 2 3 4 5 6 7 Do you have access to a gym? Yes No Do you have any current injuries/limitations? Do you have any known medical condition? (Such as diabetes, high blood pressure, cardiovascular disease) This is not a ‘transform in 15 days program’. The timeframe is over a few months and will also vary from person to person. Are you willing to fully commit and follow the plans i recommend you for at least 3-6 months? Yes i am fully committed I am not sure, I need more details I have not thought about it submit application
