<p> ACCEPTED: DECLINED: shoiuerjkasjdiouwer </p><p>Previous 42 Day Challenger? YES OR NO Previous Final Weigh in weight?______</p><p>42-Day “FAT FUNERAL” AGREEMENT</p><p>Name______Are you a Tribe Member already? YES OR NO</p><p>Are you on Facebook?______Birthday:______</p><p>Address:______City: ______Zip______</p><p>Day Phone: (______) ______Email: ______</p><p>Cell Phone:______Initial weight______Goal Weight (-20lbs)______</p><p>1) The 42-Day “Fat Funeral” Program requires a $297.00 down payment, which will be returned at the end of 42-Days after a successful body transformation has taken place. ______(Initials)</p><p>1) A successful body transformation entails 20lbs of weight loss. (On OUR company’s scale) ______(Initials)</p><p>2) I reserve the right to terminate your agreement for lack of compliance. If you do not comply with the program (i.e., miss workouts, do not follow nutrition and supplementation plan as outlined), in this event I will NOT issue a refund. ______(Initials)</p><p>3) You understand that you must complete 5 days of Travis Garza work outs per week (Camp, DVD, Butt and thighs class, or AAA) and that each day you must check-in on Facebook and write a short sentence. ______(Initials)</p><p>4) I strive to provide a fun environment that’s conducive to getting results while enjoying ourselves at the same time, at times I joke around and play but it is all in good nature. As such, all members understand that they must maintain a sense of humor at all times. ______(Initials) 5) Photos and videos are regularly taken during workout sessions to be used to inspire others and encourage a healthy lifestyle. All photos and videos are displayed in social media outlets to motivate others to work hard to achieve their goals. As such, all members agree to allow their pictures and videos posted to social media outlets. ______(Initials) </p><p>6) I believe my clients are my biggest advertisements. I strive to do everything in my power to push my clients to be their best. By initialing, you agree to let me push you and motivate you the best way I know how. ______(Initials)</p><p>7) If you are a returning 42 day challenger your starting weight for this challenge will be your most recent final weigh in weight plus 5lbs if you are over your previous final weigh in weight. ______(Initials)</p><p>8) WE ONLY WANT TO WORK WITH MOTIVATED, “A” PLAYERS, not talkers or pretenders. BY SIGNING AND INITILIZING this agreement there is NO backing out or cancellation. FOR ANY REASON!!! The $297 is non-refundable if you opt to back out or have to cancel the challenge. If you have any hesitation, do us both favor and DO NOT ENROLL. ______(Initials)</p><p>AUTOMATIC PAYMENT AUTHORIZATION: I ______, hereby authorize Travis Garza’s “Fat Loss Camp” to charge my credit card or debit card any and all payments as indicated below. I further authorize my credit card company or bank to make payment to Travis Garza’s “Fat Loss Camp” by the method indicated below and to post it on my account.</p><p>______Signature Date</p><p>Name:______</p><p>Billing Address: ______Same as above?: ______</p><p>Card : ______</p><p>Expiration: ______/______VIN#:______</p><p>I agree to hold harmless Travis Garza /TLC Fitness Inc and all of his employees and/or agents free from any and all injuries, losses, damages, and liability occurring from my participation in the activity for which I have enrolled. I also agree to be photographed/videotaped, and release the use of the photography/videos for publicity in Travis Garza’s “Fat Loss Camps and TLC Fitness Inc. publications and other information tools. Sign Here______Date: ______</p>