Registration Username * User Email * User Password * Confirm Password * Phone Number Date of Birth Current Weight (in Kgs/Lbs) How Did You Hear About Us? How did you hear of Celebrate Health? (e.g., referral, advertisement, social media, etc.) Why do you want to join Celebrate Health? When was your last medical check-up? Do you have any medical conditions that would prevent you from routine exercise? Yes No What are a few unhealthy habits that you feel you would need to change? What are your physical goals for joining Celebrate Health? What is your target weight? Would you be willing to give back one day by mentoring youth associated with Celebrate Health? Yes No Would you be willing to participate in a fitness campaign promoting healthy living in Suriname? Yes No It is highly suggested that you read the Celebrate Health book before beginning with the program. Total reading time is under ten hours. We are confident that familiarizing yourself with this content before entering the program will increase your chances of graduating and thriving for the rest of your life. Are you okay with investing the effort into reading the book and completing it before day one of the program? Yes No If you graduate, who would you invite to the ceremony and why? Register
