I ___________________________________________ (first/last name) am registering for Health Coach Service with Healthy Beauty Secrets with Duong on ___________________ (d/m/y). I understand that I am receiving Health Coaching Service and acknowledge that the service is for my educational purpose only. I am not being treated, or diagnosed for any illness or disease.
__________________________________________________ (Signature & date)
Please Email this form attached to: beautysecrets1@gmail.com
Payment must be paid through PayPal through PayPal prior to the first class. 
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