Thrive Initiative Registration Form

The 14 Day Fat Loss Kickstart

Registration and Waiver
Name*

First NameLast Name
Date of Birth*

DayMonthYear
Date
Gender*
Phone Number*
Email*
Please add louisemooreypt@gmail.com to your address book to stop emails going into your junk mail.
What are your general goals? Select as many as you like:*

Lose weightGain weightMaintain weightAdd muscleImprove fitnessFeel betterFeel more energeticAge healthilyControl eating habitsGet strongerImprove athletic performancePhysique competition goalsOther
Have you tried anything in the past to change your habits, health or nutrition?*

YesNo
Of those things, what worked well for you and didn't work well for you?*
Where did you hear about The 14 Day Fat Loss Kickstart?*
Indemnity and Liability Waiver

By participating in this online fitness coaching program, you confirm that you understand and agree to the following:

You take full responsibility for your own health, safety, and wellbeing during all activities, workouts, and guidance provided through this program.
You confirm that you are fit to take part in physical exercise. If you have any medical conditions, injuries, or concerns, you agree to seek advice from a qualified healthcare professional before taking part.
You understand that physical exercise carries some level of risk. You accept all risks linked to your participation in this program.
You agree that the coach will not be held responsible for any injury, illness, or health issue that may occur as a result of following the program, workouts, or advice.
By continuing with the program, you confirm that you accept this waiver and release the coach from any claims or liability.
By signing below or continuing to participate, you confirm your acceptance of this waiver.
Privacy Notification

Louise Moorey Health & Fitness processes personal information in order to fulfil the contract for the provision of the personal training service you are considering. Your health data is necessary for legal purposes and to ensure I am / we are appropriately qualified to help you. Your data will not be shared externally and we will ensure your data is appropriately protected at all times.

Your data will be held on file for 7 years following the end of the service in accordance with legal requirements.

You may request to see the information we hold and have it corrected or deleted at any time. If you wish to do so or have any further questions please contact me, Louise Moorey, at info@louisemooreyhf.com. You have the right to lodge a complaint with the information commissioner’s office (ICO) should you believe we are not processing your information in accordance with the law or your request has not been dealt with appropriately.
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The 14 Day Fat Loss Kickstart