Extended Water Fast Pledge and Reminder Form
Pledge Information
Full Name
Planned Fast Duration (days)
Start Date
End Date
Reason for Fasting
Accountability & Support
Accountability Partner (Name or Email)
Reminder Frequency
Daily
Twice Daily
No Reminders
Commitment
I pledge to complete my water fast safely and responsibly.
I understand this is not medical advice and have consulted a professional if necessary.