Join us on November 1 for Our Kick-Off Event 5-8pm - an evening of fun, food, music and festivities. Meet the judges, cash prizes, and plenty of free gifts.

CHANGE A LIFE BOCA CONTEST NOMINATION FORM


Nominated Person:   Date of Birth:   Sex
   
Address:
Phone:   Email:
 
Nominator:   Address:
 
Phone:   Email:
 
In a paragraph tell us why this person deserves this life changing opportunity:
How did you hear about the contest:
Please Attach A Head & Full Body Photo of The Nominated Person:
 

BOCA CHANGE A LIFE CONTEST

Nominate yourself or a deserving individual to win a "Total Transformation Make-Over"! Think the NBC hit show The Biggest Loser, meets the ABC hit show Extreme Makeover Weight Loss Edition and add a fabulous twist! Change-A-Life is a true totally personalized, medically guided transformation for one lucky local winner.
Winner will receive the following:
  • Individualized Medical Weight Loss Program
  • Hair & Make-up
  • Dental Treatment
  • Lipo-Light Body Sculpting Therapy
  • New Outfit
  • One Free Area of Botox
  • Specialty waxing
  • Massage
  • Annual Health Club Membership with Personal Training Sessions