Fred Beans Registration Card First Name Last Name Address City State ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip Code Personal Email Work Email Employee Number Phone Height (in inches) Birthday Biological Gender FemaleMale Release: I want to become a member of Weight Watchers (WW). I will in no way hold Weight Watchers (WW) responsible for any physical or mental condition that may occur because of my Weight Watchers membership. I have read and agree to abide by the Health Notice and Terms of membership. Maintenance Information Our Lifetime Members report that they have maintained an average of 87% of their weight loss two years after completing the maintenance phase of the program. Adjusting for the differences between reported weight and measured weight 71% of Lifetime Members maintained a 5% or greater weight loss after two years. * Weight Watchers makes no claim that these results are representative of all participants in the Weight Watchers program. For many dieters weight loss is temporary. *MR Lowe, TV Kral, & K Miller-Kovach. Weight-loss maintenance 1, 2 and 5 years after successful completion of a weight-loss programme. British Journal of nutrition 2008; 99, 925-930. I acknowledge receipt of the member Information and have read or will read the maintenance Information. I acknowledge that the Weight Watchers (WW) Notice of Privacy practices available at https:/www.weightwatchers.com/us/npp