Sign up form for dry fasting

In order to set up a consultation / coaching:

  1. Please fill out and send the SIGN-UP FORM below.
  2. I will reply by email (usually within 24 hrs) in order to set up a time for a video call.
  3. Follow the instructions regarding payment by debit/credit card. Payment is due before our (first) video call.

I accept full and sole responsibility for my fast, and understand that the advice offered by Tallis Barker is not intended to replace that of a medical doctor. I have read the medical disclaimer: