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Tookit Sign-Up

First Name

Last Name

Your Phone Number (for reminders)

Email Address

Reminder Time 1 (e.g. 8:00 AM)

Nickname (optional — what should we call you?)

Remark (optional, one short line — no medication or health details, please)

Reminder Schedule

Reminder Schedule
A
B
C

Weekday Selection (pick your days — leave blank if Daily)

Weekday Selection (pick your days — leave blank if Daily)

Your Timezone

Reminder Order — Attempt 1 (Text or Call)

Reminder Order — Attempt 2 (Text or Call)

Reminder Order — Attempt 3 (Text or Call)

Emergency Contact 1 — Name

Emergency Contact 1 — Phone Number

Emergency Contact 2 — Name (optional)

Emergency Contact 2 — Phone Number (optional)

Consent

Consent

Terms & Privacy

Terms & Privacy

Eligibility

Eligibility

Emergency Disclaimer

Emergency Disclaimer