Registration Form
  • Registration Form

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  • Personal Information

  • Staying In Touch

  • How ready, willing and able are you to work on healthy nutrition and wellness habits?

  • Acknowledgment

  • I understand that if I am under the care of a healthcare professional, I am responsible for consulting my doctor regarding any dietary changes or lifestyle changes.

    I understand that I am responsible for consulting my physician or healthcare provider before discontinuing or changing any prescription medications.

    The primary role of Live Well With Gita is to help clients reach their own goals by helping to devise and implement positive, sustainable lifestyle changes. The Client understands that Live Well With Gita is not acting in the capacity of a doctor, licensed dietician-nutritionist, psychologist, or other licensed or registered professional, and that any advice given by the Coach is not meant to take the place of advice by these professionals.

    I release Live Well With Gita and any of its employees from any liabilities, claims, and demands that may arise during this consultation.

    By submitting payment for coaching services, I acknowledge the above.

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    6 Month Live Well Nutrition and Wellness Coaching Package Product Image
    6 Month Live Well Nutrition and Wellness Coaching Package

    24 weekly Holistic nutrition and wellness coaching sessions.  Includes:  - A Dedicated 1:1 Nutrition and Wellness Coach  - Nutrition and Lifestyle Assessment  - Personalized guidance on weekly meal plan and grocery list  - Daily log portal based on your specific plan  - Weekly accountability check-ins that include a review of the past week, modifications that need to be made, implementation of behavior change psychology  - Unlimited coach messaging and support - Motivation and inspiration  - Ongoing nutrition education  - Your own personal cheerleader

    $1,800.00
      
    3 Month Live Well Nutrition and Wellness Coaching Package Product Image
    3 Month Live Well Nutrition and Wellness Coaching Package

    12 weekly Holistic nutrition and wellness coaching sessions.  Includes: - A Dedicated 1:1 Nutrition and Wellness Coach - Nutrition and Lifestyle Assessment - Personalized guidance on weekly meal plan and grocery list - Daily log portal based on your specific plan - Weekly accountability check-ins that include a review of the past week, modifications that need to be made, implementation of behavior change psychology - Unlimited coach messaging and support - Motivation and inspiration - Ongoing nutrition education - Your own personal cheerleader

    $1,000.00
      
    1 Month Live Well Nutrition and Wellness Coaching Package Product Image
    1 Month Live Well Nutrition and Wellness Coaching Package

    4 weekly Holistic nutrition and wellness coaching sessions.  Includes: - A Dedicated 1:1 Nutrition and Wellness Coach - Nutrition and Lifestyle Assessment - Personalized guidance on weekly meal plan and grocery list - Daily log portal based on your specific plan - Weekly accountability check-ins that include a review of the past week, modifications that need to be made, implementation of behavior change psychology - Unlimited coach messaging and support - Motivation and inspiration - Ongoing nutrition education - Your own personal cheerleader

    $400.00
      
    Total
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