Register: weight loss champ

Name *

First

Last

Email *

Phone (with area code) *

Is your goal to lose more than 40 lbs? *

• Yes

Hypnosis only works on people who are open to this process and have a STRONG desire to reach their goal. *

• Yes, I meet this criteria.

Do you agree to consult a doctor about your weight loss goals and ask them to help you create a healthy eating regime and exercise routine? *

• Yes, I agree.

Can you attend Zoom meetings (with Ralph and other participants) every Saturday from 3pm to 4pm Eastern Time? *

• Yes, I agree.

Do you agree to send Ralph a clear "before" and "after" photo on December 15, 2024? *

• Yes, I agree

On January 1, 2025, will you post your "before" and "after" photos on social media. and mention Six Life Keys in your post, and include the website www.sixlifekeys.com? *

• Yes, I agree.

Do you consent to Ralph's indefinite use of your "before" and "after" photo on his website? *

• Yes, I agree.

Do you agree with Ralph's terms of service as outlined on https://www.sixlifekeys.com/terms ? *

• Yes, I agree

Submit