FoodCount.com :: Create a Free Trial Account

Create a Free Trial Account!

Fill out the following form to create your free FoodCount.com trial account (good for 10 logins). If you would rather not provide the following personal information, you can sign up for a $19.95 annual subscription.

All information in bold is required.

Name (First and Last)
Mailing Address
City
State
or Province
Zip Code	(Postal Code)
Country
Do you do most of the grocery shopping in your household? Yes No
Would you like to receive food manufacturer coupons? Yes, through e-mail Yes, through US mail
How many people are in your household?
Are you a member of a health club? Yes No
Why are you interested in tracking your diet? Weight Change Heart Concerns Specific Health Issues Athlete Prevention/General Health Other
What is your annual household income?
Activity Level
Gender
Date of Birth	m/d/yyyy
E-Mail Address
User Name
Password
Confirm Password
	If you forget your password, this hint will be e-mailed to the address above along with your user name.
Hint
	Automatically log me in with each visit to FoodCount.com

In order to create a FoodCount.com account, you must first read and agree to conditions of the following liability waiver.

For and in consideration of subscriber's registration with FoodCount.com, Inc., I agree to relinquish any and all liability for and cause of action for personal injury, or wrongful death occurring to subscriber arising out of participation in FoodCount.com Inc. services, or any FoodCount.com advices expressed by a FoodCount.com affiliate or member. 

By this agreement any such claims, rights, and causes of action that subscriber may have are hereby relinquished. I, as a FoodCount.com subscriber, understand and assume all risks inherent in using health information provided on FoodCount.com including but not limited to nutrition advice and exercise advice. 

I understand that opinions, advice and information contained on FoodCount.com are not necessarily the views held by FoodCount.com Inc. I understand that advices expressed through FoodCount.com involve risks to subscriber's person including bodily injury, and/or death, and damages which may arise there from and that I have full knowledge of said risks. These risks and dangers may be caused by the negligence of the subscriber or the negligence of other members using FoodCount.com.

It is further acknowledged that there may be risks and dangers not known to FoodCount.com Inc. or are not reasonably foreseeable at this time. 

Subscriber agrees if any claim for subscriber's personal injury or wrongful death is commenced against releasees, he/she shall defend, indemnify and save harmless releasees from any and all claims or causes of action by whomever of wherever made or presented for subscriber's personal injuries or wrongful death. It is the purpose of this agreement to exempt, waive and relieve releasees from liability for personal injury and wrongful death caused by negligence, including the negligence, if any, of releasees. 'Releasees' include FoodCount.com, Inc., its Advertisers, Partners, Consultants, Employees, other FoodCount.com Members, Officers, Directors and Owners.

Subscriber acknowledges that they have been provided and have read the above paragraphs and have not relied upon any representations of releasees, that they are fully advised of the potential dangers using FoodCount.com and understand these waivers and releases are necessary to allow FoodCount.com to exist in its present form.

I agree to the conditions above.