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Modeling Application Form

Modeling Program
I am 10-25lbs away from my goal weight
Yes
No
I am/will be on a calorie deficit or calorie neutral diet during my time as a model
Yes
No
I will follow all aftercare instructions to the best of my ability, including daily massage and maintaining or improving my diet and exercise regimen
Yes
No
I understand I am allowed to reschedule once with 72 hours notice
Yes
No
I understand that applicators cannot be transferred to future sessions
Yes
No
I consent to pictures and measurements being taken at each session and used for advertising, and understand that any defining features, such as tattoos, will be blurred out
Yes
No
I understand that in order to achieve the best results, I will follow all of the above, and that all appointments must be at least 4 weeks apart.
Yes
No
Please text me at 213 935 5700 once you've submitted your application
Sounds Great!
Today's Date
Month
Day
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L.A. Fat Freeze

213 935 5700

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