Free and Healthy Children Membership Enrollment

Free and Healthy Children International Family Membership Enrollment

By joining FHCi I affirm: I am voluntarily entering into this membership agreement on behalf of myself or my dependents without any pressure or promise of cure of disease or disease prevention. I affirm that I do not represent any State or Federal agency whose purpose is to regulate and approve products. I affirm that I do not belong to any media outlet and I will not misrepresent any information regarding homeopathy or homeoprophylaxis. I affirm that I will not carry out any mission of entrapment or investigation.
I am enrolling in: *

Children's Complete HP Program Custom / Single Disease HP Program Travel HP
Signature *

Clear
Name *

First Name Last Name
Email *
example@example.com
Phone Number *
Please enter a valid phone number.
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
HP Supervisors Name *

First Name Last Name
HP Supervisors Email *
example@example.com
How many Children will be participating in the HP Program? *
How many Adults will be participating in the HP Program? *
Please enter your donation - $35 minimum Membership amount

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Free and Healthy Children International Family Membership Enrollment