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Boot Camp Contact form

Name: email address:

Home Phone  Mobile

I am interested in (check all that apply):

fat loss mass and strength lose fat and tone sports performance other (detailed below)

City of residence

Boot camp is only available in Santa Monica.  You can sign up by meeting Jason Kozma or online

Looking for boot camp referral in:

Where can you go for personal training (if interested) ?

In-home (personal training) location

What times and days are you available to train? (personal training)

Best time to call   Type of training:

Please add any questions or information you wish:


 Click submit once. 

alternatively, you may call (310) 772-5105.

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Don't live in LA? Click on my online training section to order a customized program for yourself!