Back to Routine Accountability Challenge Group
Fill out this form to register for my Back to Routine Accountability Challenge group
First and Last Name *
Your answer
Email Address (Please make sure this is correct as it is where you will be e-mailed your invitation to the group) *
Your answer
Phone Number *
Your answer
Facebook Profile Name (So I am sure to know to let you into the group if your real name and profile name are different) *
Your answer
I understand that I need to make payment before being added to the group. Once my registration is received I will receive an invoice and my registration is not complete until payment is received. *
You can save $10 on your registration by registering with a friend! If you and your friend are both joining please put their first and last name below. When you are both registered you will each receive a refund of $10 from your registration fee.
Your answer
I understand that I will need to fill out a waiver for both THM and My Healthy Journey For Life to participate in this Group. Once I submit my payment and registration I will be e-mailed these waivers. My registration will not be complete until these are filled out. *
Please register me for the Back to Routine Accountability Challenge Group *
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