R E G I S T R A T I O N

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Name & Surname
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Email* This field is required.
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Phone Contact* This field is required.
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I want to join:* This field is required.PAYMENT DETAILS: IBAN: LT063250017444387035 BIC/SWIFT: REVOLT21 Beneficiary: Sofia Ribeiro OR MBWAY to +351 914900223
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Great Product Name
$20
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Great Product Name
$20
Quantity:1
Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
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ORDER SUMMARY
Total costEUR
3 DAY CHALLENGE - WORKOUT & DETOX ( LET'S DO IT TOGETHER: 16-18 FEB 2026)EARLY BIRD PRICE
€18.00Edit
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3 DAY CHALLENGE . WORKOUT & DETOX ( LET'S DO IT TOGETHER: 16-18 FEB 2026)STANDARD PRICE
€25.00Edit
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5 DAY CHALLENGE - WORKOUT & DETOX (you choose your dates and do it by yourself - all classes recorded)
€35.00Edit
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7 DAY DETOX & WORKOUT CHALLENGE (you choose your dates and do it by yourself - all classes recorded)
€40.00Edit
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Quantity
Total cost €0.00
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Current Fitness Level:
Beginner (rarely do any sports)
Intermediate (1-3 times a week)
Advanced (3-5 times a week)
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Any existing health conditions or injuries? Please specify
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What are your primary goals for the challenge?
Weight loss
Muscle tone
Increased energy
Stress reduction
Focus & Productivity
Detoxify
Overall well-being
Others
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Select all additional ESSE MOOD services you might be interested in:
Retreats
Workshops
Teambuildings
Wellness Mentorship
Wellness, Longevity & Recovery studio in Porto
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I confirm that IPAYMENT DETAILS: IBAN: LT063250017444387035 BIC/SWIFT: REVOLT21 Beneficiary: Sofia Ribeiro OR MBWAY to +351 914900223
Have already payed and will now send the proof of payment to info@essemood.com
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* This field is required.
I Confirm that I have read and agree to the following terms and conditions: Registration and Payment: Registration for the Challenge is only considered effective upon the full payment of the fee. Participants can make payments via bank transfer, Revolut, MB WAY, or cash. Payment details will be provided via email after filling out this form. Individual Responsibility: Each participant is responsible for their own safety during the challenge. ESSE MOOD is not liable for injuries, damages, or loss of personal property during the challenge. Changes and Cancellations: ESSE MOOD reserves the right to change dates, times, or cancel the challenge for unforeseen reasons. Participants will be notified in advance, and fees paid will be fully refunded in case of cancellation. Refund Policy: Cancellations made by participants with a notice period of 5 days will receive a full refund. There will be no refund for cancellations made less than 5 days before the start of the challenge. Disclosure of Other Events:The provided email address may be used to send information about future events, campaigns, and activities related to ESSE MOOD. Photographic and Audiovisual Record: By participating, registrants agree that images and videos captured during the challenge may be used by ESSE MOOD for promotional purposes. Privacy and Security: The email address and personal information provided in this form will be kept confidential and will not be shared with third parties without your consent.
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