By completing this form, you are in agreement that you are 18 years of age or older. You understand that this is not a coaching agreement. You will not receive your one-time macro count until payment is received in FULL. You acknowledge that Bonna Heintz Coach is a certified Macro Coach and is NOT a physician or Registered Dietician. The contents of this document should not be taken as medical advice. It is not intended to diagnose, treat, care, or prevent any health problem - nor is it intended to replace the advice of a physician. Always consult your physician or qualified health professional on any matters regarding your health. By participating in this program, you are agreeing to accept full responsibility for your actions. All documents included or exchanged between Bonna Heintz and the Client are that of Bonna Heintz and not to be copied, sold, or redistributed without consent of Bonna Heintz Coaching.