Membership Checkout

Month 5 Continuation

For continuing members

$150

What's Included:

✓ Continue your detox journey
✓ Weekly Zoom sessions
✓ Ongoing meal plan support
✓ Community access continues

Already a member? Log in here →

The price for membership is $150.00

1 month access

Your information

All fields in this section are required so we can set up your membership and keep you safe in the program.

First name *

Last name *

Phone number *

Health information

This helps Dalia personalize your detox program and ensure your safety. Fields marked with * are required unless labeled optional.

🔒 Your Information Is Protected

This information is collected solely to provide you with a safe and personalized detox experience. Please note: Dalia's Detox is a wellness coaching service, not a medical provider, and this data is not subject to HIPAA regulations. Your information will never be sold, shared with third parties, or used against you in any way. It is stored securely and accessed only by your instructor to customize your program, accommodate dietary needs, and ensure we can support you safely throughout your journey. By providing this information, you consent to its use for these purposes only.

Age range *

Food allergies or intolerances *

List everything that applies to you (or type None if you have none).

Dietary preferences and restrictions *

Check every category that applies to you. You can select more than one (for example Vegan and Gluten-free). If none of these apply, check only “No specific restrictions.”

Current status *

Select all that apply, or check “None of these apply.”

Currently pregnant Currently breastfeeding Trying to conceive None of these apply

Health conditions we should know about *

List every condition that applies (or type None). The more complete this is, the better we can support you.

Anything else you'd like us to know?

Optional. Share anything about yourself, your routine, or your situation that you think would help us coach you better.

What are your main goals? *

How did you hear about us? *

Who referred you?

Optional if you used a member invite link. If you chose “Friend/family” or “Member” above, enter a name or keep your invite link.

More information

Have you been a member before? *

Gender *

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Health & Wellness Disclaimer:

The information provided by Dalia's Detox is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare provider before starting any new diet, exercise program, or health regimen. Individual results may vary. This program is not intended to diagnose, treat, cure, or prevent any disease. If you have a medical condition or are taking medication, please consult your physician before beginning any program.

New York Privacy Notice:

In compliance with the New York SHIELD Act and applicable privacy laws, we implement reasonable safeguards to protect your personal information. We collect and use your information only as described in our Privacy Policy. New York residents have specific rights regarding their personal information. For questions or to exercise your rights, contact us at dalia@daliasdetox.com.

Accessibility Commitment:

Dalia's Detox is committed to ensuring digital accessibility for people with disabilities. We are continually improving the user experience for everyone and applying the relevant accessibility standards, including WCAG 2.1 Level AA. If you encounter any accessibility barriers, please contact us at dalia@daliasdetox.com or call us. We welcome your feedback.

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Dalia's Detox | Serving New York & Beyond

Email: dalia@daliasdetox.com

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Month 5 Continuation

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