Emotional Eater

Registration....

To Register for the 10 week course, please fill in the details below. Once submitted you will be taken to Paypal to make a secure payment. Once that has been received you will be sent access details to begin week 1 of your course.

Fields marked with a * must be filled in
Name* :
Email* :
Contact No :
Location :
Do you own a webcam? :	Yes No
Age Range* :	18 - 30 31 - 40 41 - 50 51 - 60 60+
Sex* :	Male Female


Note : The use of the webcam will only be used on request for online face to face sessions. The information collected will not be used or sold onto third parties under ANY circumstances.