Your Name (Required)

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How did you hear about The Zola Diet (Required)
Please choose one belowWIBA CommercialWTSO CommercialMitch HenckWMAD CommercialJohn and Tammy LeeKEEZ-FMKYSM-FMKRBI-FMKQYK-FMHarry OWBDK 96.7 FMWRKU 102.1 FMWRLU 104.1 FMWSBW 105.1 FMWNSX 97.7 Ellsworth/BangorBrownie in the Morning (WERK)Jazz Radio, BerlinDoor County Daily Newsmadisonclick.comArcaMax eNewsletterKeith Morton-CityWideSuperSlowAmy ZagrobaAnother Zola Dieter

* If you heard about us from another Zola Dieter or a Personal Referral
would you please share the person's name?:

How many pounds to you wish to lose? (Required)
25 pounds or less26 pounds or more

What is your targeted start date for the program?
(Please allow 7 to 10 business days for us to synchronize the shipping of your Diet Remedy so
you have it on hand at the start of your program)

I certify that I am 18 years of age or older (Required):
 Yes

The Zola Diet General Disclaimer and Waiver of Liability

The science of weight loss is complex, involving potentially numerous co-existing conditions, which can vary widely from individual to individual. You have chosen to enter into The Zola Diet (“the Program” or “Program”). In so doing, you acknowledge and agree that to achieve optimal benefits from the Program, you must follow the guidelines set forth below.

1. The Program is intended only to assist users in their personal weight loss efforts.

2. The Zola Diet, its partners, affiliates, officers, employees, and its practitioners are not responsible for obtaining knowledge of your individual health condition(s). You are wholly responsible for your health conditions and will continue to consult with your physician for any concerns you may have. Dr. Branch is not acting as your physician.

3. THE INFORMATION, RECIPES, ARTICLES, AND OTHER CONTENT CONTAINED IN THE PROGRAM AND ZOLA DIET WEB SITES (WWW.ZOLADIET.COM AND WWW.ZDIETWORKS.COM) IS FOR INFORMATIONAL PURPOSES ONLY AND SHOULD NOT BE CONSTRUED AS MEDICAL ADVICE OR DIAGNOSIS.

4. To begin the Program you agree that you accept ALL potential health or emotional risks involved with participating in this diet plan and fully understand that the information in the Program is not a substitute for physician consultation, evaluation, or treatment.

5. You agree to waive liability and hold harmless The Zola Diet, its officers, employees, partners, or other affiliates from any potential harmful or negative physical or emotional effects, conditions, or any other potentially damaging or negative effects that may result from the participation in the Program. The Zola Diet, (McZeely-FosterBranch, LLC) its officers, employees, partners, and other affiliates are not responsible for any potentially harmful physical, emotional, or other potentially negative or damaging effects that may occur as a result of participating in the Program.

6. If you have ANY lingering medical, physical, or emotional concerns before or during the Program, PLEASE consult your physician for advice immediately. This program is not intended to replace the advice or consultations offered by your own personal physician regarding your specific health situation(s). If you are not satisfied with the advice rendered by your current physician, you have the right to obtain another medical opinion.

7. The Zola Diet is provided in an attempt to bring you the most advanced presentation of A.T.W. Simeons’s manuscript Pounds and Inches: a New Approach to Obesity. Nevertheless, the independent studies needed for deeper understanding of his approach have yet to be done, and The Zola Diet is not responsible for any side effects that may result. All users of the Program and this protocol (“protocol” defined as the diet regimen you must adhere to during the Program) do so of their own free will and at their own risk and further agree to hold The Zola Diet, its officers, owners, employees, partners, employees, and affiliates harmless from any physical, emotional, or other damages that may occur as a result of participation in the Program.

 Yes, I agree to the Terms of The Zola Diet (Required)

Is there anything special you'd like to tell us at The Zola Diet before you begin?