Life Guidance & Coaching Form

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Hi there! Thank you so much for considering working with me! Please take a few moments to complete the form below and I will respond as soon as possible to schedule your session(s). I look forward to connecting!

Please note, by submitting this form, you have read and understand the below:

Coaching is not intended to replace professional advice or therapy. The Coach is not a licensed
therapist, psychologist, or medical professional. The Client understands that coaching is a
supportive process designed to help with personal development and goal achievement and does
not guarantee specific outcomes. The Coach will make every effort to support the Client; however, the Coach is not liable for any decisions, actions, or results the Client makes based on coaching sessions. The Client is solely responsible for their actions and decisions throughout the coaching process.

*Please note: I’ll be on a retreat 4/27-5/10/25 and responses will be delayed during that time.

Name *

Email *

Phone number *

Address (required for 6 month container)

Which coaching offering are you interested in scheduling? *

Single Guidance & Coaching 60 Min Session | $133

6 Month Guidance & Coaching Adventure | 12 Sessions (2 Hrs Each) | $2999

Required

What would you like to focus on in our time together ? *

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