Feb. 8, 2021 Only Me Registration
Thank you for joining the Only Me community for adult only children! We are so excited to have you and look forward to getting to know you! To participate in the conversation hosted by Tiffany Maurer of A Texan's Fitness, please complete the form below. After payment has been received, the Zoom information will be emailed to you (add
atexansfitness@gmail.com
to your contact list to ensure the email is received).
This meeting will be on Monday Feb. 8, 2021 at 7pm CST (8pm EST/5pm PST)
* Required
Email address
*
Your email
Full Name
*
Your answer
Where you live (City/State/Country/Timezone)
*
Your answer
Phone Number
Your answer
Date of Birth
MM
/
DD
/
YYYY
Please confirm you agree with EACH of the following by checking the box to the left.
*
I agree to participate in the conversation (which includes participating in the Zoom meeting with video on).
I understand no refunds will be granted once the commitment has been made. Exceptions might be granted for extenuating circumstances, based on the Host’s discretion.
I understand and agree that I am fully responsible for my physical, mental and emotional well-being, including my choices and decisions. I am aware that I can choose to exit the conversation at any time.
I agree to keep the confidentiality of all the participants and will not record the Zoom meetings.
I understand that exceptions to confidentiality relate to circumstances such as intent to seriously harm someone, child abuse, thoughts of suicide etc. Otherwise, all remaining information is kept confidential.
I agree to respect the opinions of the other participants.
By registering for this event, I understand I will be signed up to receive A Texan's Fitness newsletter and I can unsubscribe at anytime.
Required
Payment Options ($5)
*
Venmo (@Tiffany-Maurer)
Paypal (
paypal.me/atexansfitness
)
First Name
*
Your answer
Last Name
*
Your answer
Date
*
MM
/
DD
/
YYYY
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms