Body Reset Evening Registration
Register for the Wednesday, Sept 23, 6:00–7:30 PM session at LBMA & Wellness—payment is required to confirm your seat (max 15 guests).
Registrant Information
Full name
*
First Name
Last Name
Email address
*
example@example.com
Mobile phone number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Are you 21 years of age or older?
*
Yes
No
What would you most like to learn about?
*
Targeted fat reduction
Muscle strengthening and toning
Skin tightening
Body composition and InBody results
I’m not sure—I would like guidance
Preferences and Accessibility
Is there a particular area you would like to learn more about?
*
Will you be attending alone or with someone who will register separately?
*
Attending alone
Attending with someone who will register separately
Do you have any accessibility needs or dietary considerations we should know about?
*
Acknowledgments and Marketing Consent
I understand that registration is $49 plus HST and my seat is confirmed only after payment is completed
*
I understand
I understand that the InBody scan and event information are educational and do not replace an individual medical assessment
*
I understand
I understand that attendance does not obligate me to purchase any treatment
*
I understand
Yes, I would like to receive occasional news and offers from LBMA & Wellness
*
Yes, I would like to receive occasional news and offers from LBMA & Wellness
I understand a member of the LBMA and Wellness team will reach out
*
I understand
Register
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