Food Freedom Group Registration: [ONGOING] Begins April 12, 2021
Please fill this form out to register for the Food Freedom Group that is ongoing and begins on 4/12/2021

Additionally, by filling out this form you are subscribing to the Piece by Peace newsletters so you can be kept up to date with group deadlines and upcoming groups. You can unsubscribe at anytime by clicking "unsubscribe" at the bottom of any newsletter you receive.
Email address *
First Name *
Last Name *
Email Address *
How did you hear about this Group? *
When did you complete your Whole30 (or when will you complete your Whole30)? *
Informed Consent and Contract. Piece by Peace Living, LLC's food freedom coaching services are intended to promote general health and wellness and are not intended to replace physician care or medical intervention. All nutritional assessments, suggestions and/or consultations on nutrition, diet and lifestyle are based on your input, and are not intended to diagnose, treat or cure any disease or ailment. You acknowledge and agree to accept all responsibility for reviewing diet, nutrition, and lifestyle suggestions with a licensed medical professional before following said suggestions. As with any program, there may exist inherent risks which may be relative to your state of health, fitness, awareness, care, and skill to which you conduct yourself. You agree that it is your responsibility to inquire about any recommendations with which you are not familiar, and provide any information which may limit your participation in the Whole30 program. Results and changes in your general health and wellness may vary depending on medical conditions, medications, and accuracy in following suggested guidelines. As your general health and wellness may change with modifications in diet, nutrition, and lifestyle, physician-prescribed medications may require modification. It is your responsibility to discuss this with your physician. Never reduce or eliminate physician prescribed medications without the direction of your physician or medical care provider. Your personal and health information will remain confidential and will not be shared without your consent. *
Payment. I understand that once I register on the Piece by Peace Living website I will be automatically charged $12.99 each month unless I cancel my subscription. A separate payment link will be sent after this google form is received. Additionally as long as a I am active member in this Food Freedom Group I am eligible to receiving Piece by Peace Living's Whole30 Coaching Services at 20% off the regular price. *
Would you like to receive more information on the below? (Check all that apply) *
A copy of your responses will be emailed to the address you provided.
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