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Group Coaching Application

For women who have worked with me:

Name

First Name

Last Name

Email

What’s your number one reason for taking this course?

What is your biggest struggle currently?

Are you prepared to attend the LIVE classes on the given dates and times? 3/31, 4/7, 4/14, 4/21, 4/28, 5/5, 5/12, 5/19, 5/26, 6/2, 6/9, 6/16 @ 8pm EST

YES!!!

No :-(

Would you like to speak with me so I can answer any questions or concerns before signing up? If you check "yes" I will email you to schedule a call shortly.

Yes please.

Nope, I know I'm in for an experience of a lifetime. Sign me up!

You will receive an email from me about acceptance to the program and info on how to make payment.

I’m SO excited to guide you on this transformational journey!

With love,

Hana