Home Meal Plan Booking Form Home Meal Plan Use this form to request your booking for Power Kitchen's meal prep service. Please provide your name:*Please provide your email address:*Please provide your mobile telephone number:*Please tell us when you'd like your plan to start:*Please note, start date must be either a MONDAY or a THURSDAY, and we need at least 3 days notice.Number of meals per day*Please choose the number of meals you'd like per day as part of your Home Meal Plan.Silver - 1 meal a daySilver Plus - 2 meals a dayGold - 3 meals a dayPlatinum - 4 meals a dayNumber of days per week*Please choose the number of days per week that you'd like your Meal Plan to run for.5 days per week (Mon-Fri)6 days per week (Mon-Sat)OtherChoose your dietary requirements/goals...*Please tick the option which best suits your preferences/goalsLower Carb - good for weight lossKeto - very low carb/high fatClean Carbs - good for maintaining or bulkingVegetarianVeganKids MealsDo you have any ALLERGIES or strong dislikes?*Please advise which of the meals on our menu you'd like including in your plan.*Please tick ALL of the meals that you would like to include for selection in your Meal Plan. Our specials menu works on a three week rolling rota, so you should choose at least ONE special dish from each week to include sufficient variety in your plan. From your selection, we will put together a balanced selection of meals for you prepared to suit your specified goals. Week One Special: Paleo Meatballs Week One Special: Kung Pao Chicken Week One Special: Turkey Chilli Week Two Special: Three Pepper Bolognaise Week Two Special: Mild Chicken Curry Week Two Special: Korean Beef Week Three Special: Thai Green Curry Week Three Special: Sweet Chilli Steak Week Three Special: Sweet Potato Cottage Pie Veggie box with fillet steak Veggie box with roast chicken Veggie box with cod in parsley butter Veggie box with halloumi Veggie box with tofu Salad box with chicken Salad box with feta cheese Vegan salad box Vegan Special - Coconut Dahl Vegan Special - Three Bean Chilli Vegan Special - Red Lentil Arrabiatta Vegan Special - Soy Stir Fry Breakfast option - Eggs and greens Breakfast option - Gluten free cinammon oats Kids Meals - Chicken Nuggets, clean beans, greens and parsnip chips Kids Meals - Cod bites, peas/sweetcorn, root mash Kids Meals - Bangers and mash with clean beans Kids Meals - Fillet steak bites, root mash, greens and parsnip chips SaucesChoose your preferred sauces to include with any veggie/salad boxes in your Meal Plan. South West Garlic Mayo Sweet Chilli Peri Peri Gluten-Free Gravy Power Ups (add-ons exclusive to Meal Prep customers)Choose your Power Ups - our specialist add-ons offered only to meal prep customers at lower prices than in store. Our Power Ups will will help you achieve your dietary goals, be this bulking, ketosis, improved gut health or sticking to your diet with the help of clean treats. Probiotic Power Up : Kefir. 5 250ml bottles £9.95 Probiotic Power Up: SCD Yoghurt. 2 500ml jars £9.95 Protein Power Up: 5 bottles for £9.95 Paleo Power Up: Bone broth. 4 500ml trays £11.95 Keto Kickstart: Exogenous ketone drink £4.50 Clean Treat Power Up: Cakes 5 for £11.95 Clean Treat Power Up: Power Bombs 10 for £5 Please provide any additional information that you feel is relevant to your Meal Plan:COLLECTION - Please specify where you'd like to collect your meals (Wigan or Powerbeck Gym)*Member of staff who helped with application.Please make a note of the member of Power Kitchen staff who advised you on options or helped you complete your booking form.