My Account
My Favorites
Blogs
Photos
Bloggers
Blog interview form
Photo submission form
Lifestyle Goals Collective Transformation Form
Login
Register
Search
Lifestyle
PRO
BLOGS
Latest
Favorites
View All
Aspen Stevanoski can be a Canid Researcher, Wilderness guide, and Wildlife Photographer
Jo Ann Aita can be a World Champion Powerlifter, Mom, Coach and Gym Co-Owner
KC Williams can be a Teacher, Diver, and Writer
Theresa De Priest can be an Entrepreneur, Aspiring Author, and World Traveler
PHOTOS
Latest
Favorites
View All
Heidi Voelker can be a Nurse Practitioner and a Corporate Health and Wellness Director
Anya Costeloe can be a Facial Plastic Surgery Fellow, a Snowboarder, and a Yogi
Hannah Ingalls can be a Lawyer and Athlete
Jadon Wages can be a CNA, Student and Yoga Instructor
BLOGGERS
INSPIRATION
SHARE YOUR STORY
Blog Interview Form
Podcast Interview Form
Photo Submission Form
COMMUNITIES
Healthcare Professionals
Entrepreneurs
Mothers
Content Creators
More…
Search
Login or Register
image/svg+xml
Openclipart
Star
2010-11-13T20:17:55
A star with simple shadowing
https://openclipart.org/detail/95431/star-by-artokem
artokem
star
Trending Now
Aspen Stevanoski can be a Canid Researcher, Wilderness guide,...
Jo Ann Aita can be a World Champion Powerlifter,...
KC Williams can be a Teacher, Diver, and Writer
Theresa De Priest can be an Entrepreneur, Aspiring Author,...
Heather Bellegia can be a Certified Nursing Assistant and...
Follow us on social @shecanbeboth
BLOGS
Latest
Favorites
View All
Aspen Stevanoski can be a Canid Researcher, Wilderness guide, and Wildlife Photographer
Jo Ann Aita can be a World Champion Powerlifter, Mom, Coach and Gym Co-Owner
KC Williams can be a Teacher, Diver, and Writer
Theresa De Priest can be an Entrepreneur, Aspiring Author, and World Traveler
PHOTOS
Latest
Favorites
View All
Heidi Voelker can be a Nurse Practitioner and a Corporate Health and Wellness Director
Anya Costeloe can be a Facial Plastic Surgery Fellow, a Snowboarder, and a Yogi
Hannah Ingalls can be a Lawyer and Athlete
Jadon Wages can be a CNA, Student and Yoga Instructor
BLOGGERS
INSPIRATION
SHARE YOUR STORY
Blog Interview Form
Podcast Interview Form
Photo Submission Form
COMMUNITIES
Healthcare Professionals
Entrepreneurs
Mothers
Content Creators
More…
Login or Register
She Can Be Buff Payment Agreement Form
Please enable JavaScript in your browser to complete this form.
She Can Be Buff Annual Member Client Details
Name
*
First
Last
Email
*
Address
*
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Phone
*
Contract Agreement
This agreement is made between:
Nurse Georgie, INC. DBA She Can Be Both and DBA She Can Be Buff
and client:
*
First and Last Name
She Can Be Buff agrees to:
* 1:1 Accountability + Group Coaching * Custom Fitness Training Plan Aligned With Your Goals and Schedule * Custom Nutrition Plan + Grocery List * Access to Weekly Group Calls via Zoom With Coaches + All Members * Access to Monthly Guest Speakers & Member-only Events * 1:1 Messaging With Coaches In Private She Can Be Buff App 24/7 * App Compatibility With MyFitnessPal, Apple Watch & FitBit * Education-based & Evidence-based Practice * Supplementation List With Guidance & Education * Opportunities for Free Prizes and Giveaways
The client agrees to:
Complete full payment of $291/month for 12 months starting the month of this signed contract.
Signatures
Georgina Villarreal, MSN, RN CEO of Nurse Georgie, INC.
*
Clear Signature
Client Signature
*
Clear Signature
Print Name
*
First
Last
Date
*
Submit