VIP Program Application

"*" indicates required fields

Please complete the form below to apply for Jake VIP Program

Name*

First Last

Email*

Location*

City Country

Age*

Which VIP service are you applying for?*

Weight*

KGS ONLY

Height*

CM ONLY

Front photo*

Max. file size: 100 MB.

Back photo*

Max. file size: 100 MB.

What is your 3 month goal?*

What are you hoping to achieve working with Jake?*

Have you previously used a coach or nutritionist?*

Have you previously tracked macros?*

Do you have any current health concerns or medical diagnosis that you need to make mention of? Including any injuries, intolerances, diseases, recent testing you have had completed?

Athletes - please list previous experience/coaches and placing's achieved?

By applying for a position as a Jake Campus Nutrition VIP athlete, I understand that upon successful approval:

I agree to the NO cancellations policy in the terms and conditions policy of this service, this is inclusive of medical reasoning.

I understand that I cannot end my contract until I have reached the minimum term stated.

I understand that this is an exclusive capped service and there will be no approval of early exits from the program for any reasons.

VIP Program Application

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