Bio~Balance Registration Form
Body Love 1-Day E.N.D. Event
First Name *
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Last Name *
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(Cell) Phone Number *
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Mailing Address *
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Email *
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Date of Birth *
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What do you want to gain from this experience? *
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How did you hear about Ashly's Bio~Balance? *
I love referrals! Refer a friend and get your FREE copy of "Join Me in the E.N.D. Zone."
Provide the name(s) and email(s) for interested individuals. THANK YOU!
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The E.N.D. Zone Retreat Legal Waiver
I am attending this Wellness Program, The E.N.D. Zone Retreat, of my own volition. Ashly recommends that I inform my medical doctor of any and all dietary changes which I make as a result of her recommendations.

I understand that Ashly Torian, the person teaching and leading this program, is not a doctor or registered dietician. I take full responsibility for my health and for the decisions regarding my diet and lifestyle that I make as a result of Ashly’s recommendations.

I understand that Ashly is a certified Eating Psychology Coach and Personal Fitness Trainer trained to guide clients regarding the improvement of their health through dietary, lifestyle and stress reducing suggestions. Dietary supplements are suggestions only, and whether or not I partake of these suggestions is as a result of my own volition.

I hereby release and discharge Ashly Torian and Ashly’s Bio~Balance from any and all claims that I or my family or heirs, have or may have, now or in the future. I have read and understood all of the above, and agree to proceed under these conditions.

I understand that the above is meant to have legal significance and be legally binding.

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by printing your full name you understand and agree to the terms above
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Date *
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