Help For the Holidays Accountability Group
Fill out this form to register for my Help For the Holidays accountability group
First and Last Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Facebook Profile Name (This helps me know it is you if your real name and profile name are different) *
Your answer
Register with a friend for a $10 friend discount for each of you. Enter your friends name below and once you are both registered you will receive a $10 refund.
Your answer
Please register me for the Help For the Holidays Accountability Group (Registration is not complete until payment and waivers are completed) *
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 registration I will be e-mailed these waivers. (Registration is not complete until payment and waivers are completed) *
Coupon Code {type it here if you have one}
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.