May 2022 Book Club Registration

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Thank you for registering for the book club discussion of ATOMIC HABITS by James Clear!

To participate in the conversation hosted by Tiffany Maurer of A Texan's Fitness, please complete the form below. After the $5 payment has been received, the Zoom information will be emailed to you (add tiffany.maurer@atexansfitness.com to your contact list to ensure the email is received).

This meeting will be on Saturday, May 28, 2022 at 2pm CST (3pm EST/12pm PST)

Email *

Full Name *

Where you live (City/State/Country/Timezone) *

Phone Number

Please confirm you agree with EACH of the following by checking the box to the left. *

I agree to participate in the discussion (which includes reading the book and participating in the Zoom meeting with video on).

I understand no refunds will be granted once the commitment has been made. Exceptions might be granted for extenuating circumstances, based on the Host’s discretion.

I understand and agree that I am fully responsible for my physical, mental and emotional well-being, including my choices and decisions. I am aware that I can choose to exit the conversation at any time.

I agree to keep the confidentiality of all the participants and will not record the Zoom meetings.

I understand that exceptions to confidentiality relate to circumstances such as intent to seriously harm someone, child abuse, thoughts of suicide etc. Otherwise, all remaining information is kept confidential.

I agree to respect the opinions of the other participants.

By registering for this event, I understand I will be signed up to receive A Texan's Fitness newsletter and I can unsubscribe at anytime.

Required

Payment Options ($5) *

Venmo (@Tiffany-Maurer)

Paypal (paypal.me/atexansfitness)

First Name *

Last Name *

Date *

YYYY

A copy of your responses will be emailed to the address you provided.

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