Healthy Habits Intake
Have you downloaded the My Fitness Pal app?
Do you have any physical or mental health issues that may impact your participation in Healthy Habits?
Do you have access to weighing scales?
Do you have food weighing scales?
Are you currently breastfeeding?
Do you have a measuring tape?
What is your current activity level?
Do you commit to the process? To filling in your tracker every week and checking in with the group each Monday?

Agreement & Release of Liability

 *You, the Customer, fully understand that you may injure yourself as a result of participation in a training program, and hereby release Emma McGuire (Moving Through Motherhood) from any liability now or in the near future for any injury, including but not limited to, heart attacks, death, muscle strains or tears, broken bones and any other illnesses, soreness or injuries caused, occurring during or after participation in the programmed training. By submitting this application, you state that in consideration of your participation in any programs provided by Emma McGuire (Moving Through  Motherhood), you yourself, your personal representatives, administrators, heirs and assigns hereby holds harmless, Emma McGuire (moving through Motherhood) from any claims arising from your participation. Likewise, you fully understand that if participating in a Mother and Baby class, You (the Customer) hold full responsibility for ensuring the safety of your child and release Emma McGuire (Moving Through  Motherhood) from any liability now or in the near future for any injury, including but not limited to, heart attacks, death, muscle strains or tears, broken bones and any other illnesses, soreness or injuries caused, occurring during or after participation in the programmed training. I state, I am not a registered dietician (RD) and cannot offer any form of diet or nutritional advice to clients who have a history of diagnosed eating disorders, diabetes, or any other metabolic or digestive tract related diseases. – By signing this form you agree all responsibility for your participation following diet or nutritional guidance offered by myself: Emma McGuire (Moving Through Motherhood) via Healthy Habits e-course, in addition to the payment of any fee or charge. All information you obtain will be directly from my own experiences and study. It is of best interest for anyone looking to start a training and/or diet program to first of all consult a physician before doing so.

Thanks for submitting!