TEST GROUP APPLICATIONDIRECTIONS

1. Please fill out the entire form and “Save As” your first and last name (for example: click “Save As” and enter Jane Smith).

2. Along with your application you must include 2 photos:1. FULL BODY recent photo of you within the last two weeks (men: shirtless, women: sports bra and shorts) facing the camera and preferably in form fitting workout attire.2. Photo of you at the peak of your fitness level aka the best shape you’ve ever been in. If you do not have a photo, please be descriptive in question 5 below.

3. Once you’ve filled out this form and selected your photos, please send everything in to beachbodycasting2014@gmail.com (it’s ok to send the photos separately if the files are too large)

AVAILABILITY:

1) Infomercial Appearance. Are you willing to be interviewed and give an on-camera testimonial for an infomercial, as well as be photographed in a bathing suit? YES/NO

2) Shoot Requirements. Are you available for 4 shoot days, including “Before” photos and interview, and Final photos and interview. YES/NO

3) Program Details: For 90 days (May 19th – August 18th), attend daily workouts in Santa Monica (Monday – Saturday), and commit to eating only the food provided by the fresh food delivery service. YES/NO

4) Would you be willing to allow us to film you at your work/home location? (This is not a requirement. We will be selecting a few participants to film in their homes EACH WEEK for the duration of the program) YES/NO

Continue to page 2 to complete application….

Name: Age:

Height: Current Weight:

Gender: Occupation:

Marital Status: Child(ren)?

How did you hear about this Test Group?Are you a BB Coach?

Have you ever participated in a Beachbody Test Group before? If YES, which one?

Best Phone Number to contact you:

1. How much weight you would like to lose through an exercise program?

2. Is there a specific part of your body you are most unhappy with? (ex: stomach, butt, whole body, chest arms etc)

3. What are your fitness/weight loss goals (ex weight loss, muscle building, body fat loss etc)?

4. What have you done previously to try to achieve this? What obstacles have prevented you in the past from reaching your goals? (Ex. job, kids, etc)

5. Would you describe yourself as someone who was once in shape, but now has let themselves go and you’re looking to get back to your old body? If Yes, describe the best shape you’ve ever been in. How does that compare to your body now?

6. Do you currently exercise? If so, what/how frequently? If not, why?

7. Are there any health/medical issues in your family? Do you have any injuries? If yes, explain.

8. Describe your current diet. On average, approx. how many calories a day do you think you currently consume?

9. Do you have any diet restrictions (Ex. Vegetarian, Vegan, Pescetarian) or allergies? If yes, please list below.

10. Have you ever completed a Beachbody Program in its entirety? If Yes, which one?

11. Have you participated in a Beachbody Test Group before? If Yes, which one?

12. Do you feel confident that you can follow a strict diet for 90 days?

13. If selected, please indicate which exercise slot you can commit to (you may attend either Saturday time slot if needed):

a. Mon-Fri 8am-9am & Sat 9am-10amb. Mon-Fri 6pm-7pm & Sat 10am-11am