We would be honored if you joined us.
- Application Form -

Name:

Email:

Phone:

Area of town you live in:

Male/Female?

Birth Month, Day, and Year

How did you hear about KH%F?

Have you been part of a health program before? If so which one?

What worked for you?

Why did you stop?

What are your short-term healthy living goals?

Will you need a medical release to participate?

Do you have any food restrictions?

From 1 - 10 , rate your readiness level to get started.

What kind of physical activity do you enjoy?

Note: KH&F is not a medical facility. We may require a medical release before accepting an application.

Due to high demand, please allow up to 48 hours for a response.
Thank you.

Join us on the journey of lifelong wellness. Unite with a community of like-minded people. Be part of a program that puts your fitness, mind, nutrition, and health at the top of their priority list. Now, is the time. Sign up to achieve your weight-loss goals and maintain a healthy living lifestyle.

We would be honored if you joined us.- Application Form -

Note: KH&F is not a medical facility. We may require a medical release before accepting an application.

Due to high demand, please allow up to 48 hours for a response. Thank you.

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We would be honored if you joined us.
- Application Form -

Due to high demand, please allow up to 48 hours for a response.
Thank you.