Dec. 7, 2020 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 Dec. 7, 2020 at 7pm CST (8pm EST/5pm PST)

Email address *

Full Name *

Where you live (City/State/Country/Timezone) *

Phone Number

Date of Birth

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 *

Last Name *

Date *

YYYY

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