Zerona VZ8 Elite Metabolic Fat Loss Program Application

Please Fill Out This Easy Application in Its Entirety

1. Interest in the Program *

Yes! I am interested in beginning my body transformation journey with proven personalized programs featuring the Zerona VZ8, the World’s Only FDA cleared Violet Fat Loss Laser!

2. Application Review & Consultation *

Please consider my application for the Zerona VZ8 Elite Metabolic Fat Loss Program and, if accepted, book my complimentary consultation appointment in order to find out which level I will be starting my fat loss journey. I recognize that everyone is different and that the process may take longer for some and may involve lab and other testing to personalize the program in order for you to achieve success at your goals.

3. Commitment to Attend Consultation *

I understand that you are currently waiving the required $100 application fee and give my commitment that I will show up for my consultation appointment, once scheduled.

4. No Obligation / Acceptance Process *

I understand there is no obligation to join when filling out this application. Not everyone who enrolls is accepted and not everyone who is accepted joins. This is just a way to explore whether you are a good fit for this program and vice versa.

5. Medical Disclaimer *

I understand this program does not replace medical care and that I should consult with my medical provider before beginning this program.

Please complete this confidential application and submit it as soon as possible. Incomplete applications will be deleted with no warning or notice.

Please submit your completed form by hitting the "Click to Apply" button at the bottom of the form. In order to protect your privacy, DO NOT EMAIL THIS FORM. This page uses 100% secure encryption to protect your sensitive information.

Impact & Frustration

How long have you struggled? *

How is this affecting your life? *

Why do you want to lose weight and /or fat? *

Emotional frustration (1–10, 10 being very frustrated) *

If nothing changes in a year, what worries you most? *

When your body transforms, what will improve for you? *

Commitment Agreement (Check Each)

Commitment: Minimum Sessions

I will complete at least 8 Zerona VZ8 laser sessions.

Commitment: Weekly Session Attendance

I can attend laser sessions 1–2 times weekly.

Commitment: Group Coaching

I will attend weekly virtual group coaching calls.

Commitment: Lab / Genetic Testing

I am open to lab and/or genetic testing.

Commitment: Nutrition & Movement Guidance

I will follow dietary and movement guidance.

Commitment: Personal Responsibility

I am ready to take full responsibility for my body transformation journey .

Commitment: Mindset Work

I am ready, willing and able to work on my mindset.

Commitment: Tracking Journal

I will keep a food, movement and emotional journal while in the Zerona Elite Program.

Commitment: Investment Readiness

I am ready, willing and able to invest in my health and my body transformation!

Please sign *

Clear

Date of submission *

Sculpt Luxe LA

(323) 927 - 6028

Los Angeles, CA

Luxury, science-based metabolic support for women ready to release stubborn fat intelligently and sustainably.

The Zerona VZ8 is FDA-cleared for reduction of body circumference. Results vary. This program is not intended to diagnose, treat, cure, or prevent any disease. Always consult your healthcare provider.

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Disclaimer:

The content provided on this website is for educational and informational purposes only and is not intended to diagnose, treat, cure, or prevent any medical condition. This information should not be considered a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a licensed healthcare provider with any questions you may have regarding your health or before beginning any new diet, exercise, or wellness program. Outcomes may vary based on individual health status and adherence.

Zerona VZ8 Elite Metabolic Fat Loss Program Application

Please Fill Out This Easy Application in Its Entirety

Medical History

Stress & Lifestyle

Impact & Frustration

Commitment Agreement (Check Each)

Sculpt Luxe LA