pop up and gravity forms should go to:
info@balancewc.com

update gravity forms to that email address - remove mediapong from bcc

make sure you use the wording "  By submitting this form you consent to us contacting you via phone/text" 

Whitney, is this what you mean?

consent.png 99.9 KB • Download

here is the optin and form:

without the check box

refer to how 
https://go.dellorusso.com/

does it

Whitney, is this OK?

http://balancewc.com/coolsculpting-houston/

Thank you J, what confirmation page does the popup go to?

this page: http://balancewc.com/c/coolsculpting/