Registration

First Name Last Name

Address
City State Zip

Date of Birth

Tel. #
Email
If someone referred you to us, please let us know who:

I, the undersigned, agree that I have voluntarily joined Thin's In, a club dedicated to teaching appetite control, to eat properly, and to maintain weight loss and improve
ones self.

As a member of Thin's In, I am advised to undergo a complete physical exam by a doctor of my choice, before entering the diet program offered by Thin's In. I specifically waive any claim I might have against Thin's In for any matter arising as a result of my enrollment and participation in the Thin's In program.




	First Name Last Name Address City State Zip Date of Birth Tel. # Email If someone referred you to us, please let us know who: I, the undersigned, agree that I have voluntarily joined Thin's In, a club dedicated to teaching appetite control, to eat properly, and to maintain weight loss and improve ones self. As a member of Thin's In, I am advised to undergo a complete physical exam by a doctor of my choice, before entering the diet program offered by Thin's In. I specifically waive any claim I might have against Thin's In for any matter arising as a result of my enrollment and participation in the Thin's In program.