8 Week Meal Plan - $50

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* 1. Full Name

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* 2. Email Address

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* 3. Phone Number

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* 4. Age

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* 5. Sex

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* 6. Height

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* 7. Weight (Pounds)

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* 8. Activity Level

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* 9. Current Fitness Goals

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* 10. How many pounds would you like to lose or gain?

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* 11. When would you like to see this change?

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* 12. Please list all known/suspected food allergies.

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* 13. Please read to understand and acknowledge that:

Allergy Disclaimer: Leigh-Ann Jaggon LLC, Coach Lee, Dr. Leigh-Ann Jaggon is not responsible for any allergic reactions that may occur from foods included in the meal plans, regardless of whether such allergies were previously disclosed.

Assumption of Risk: You as the client assume full responsibility for the preparation and consumption of foods listed in the meal plan. You understand that there is an inherent risk associated with food preparation and consumption, including but not limited to food borne illness. 

Potential Food and Medication Interactions: You acknowledge that certain foods may interact with your current medications or affect existing health issues. It is your responsibility to consult with your doctor or healthcare provider regarding the meal plan provided to ensure it is appropriate for your health condition and medication regimen.

Consultation with Healthcare Provider: You agree to consult with your healthcare provider before starting any nutrition plan provided to confirm its suitability for your current health status and medical needs.

No Guaranteed Results: You acknowledge that results from the meal plan are not guaranteed. Meal plans are based on suggested portion sizes and do not account for variability in food brands and preparation methods. Results may vary based on individual adherence and other factors.

Independent Execution: You understand that meal plans are based on your self-reported information. You are accountable for accurately following the meal plan and reporting your adherence.

By signing below, you agree to the terms of this waiver and release Leigh-Ann Jaggon LLC, Coach Lee, Dr. Leigh-Ann Jaggon, from any claims, liabilities, or damages arising from your participation in the meal planning service.

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