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Soul: Unchained Pre-Registration Application
Congratulations on deciding to make an investment in your future. Please complete the following questionnaire to begin your journey with the EmpowerFit Wellness and She Retreats in Playa Hermosa, Costa Rica March 2022.
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What is your full name?
What is your full name?
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What is your phone number?
What is your phone number?
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Please tell us about yourself.
Please tell us about yourself.
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What one thing about yourself or your life would you change if you could?
What one thing about yourself or your life would you change if you could?
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What areas of your life have you had the most success?
What areas of your life have you had the most success?
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What area(s) do you want to work on or see more growth?
What area(s) do you want to work on or see more growth?
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Do you have a plan to address the areas you want to work on? If so, please tell us about it.
Do you have a plan to address the areas you want to work on? If so, please tell us about it.
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How did you hear about CTRL+ALT+DEL
How did you hear about CTRL+ALT+DEL
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Please list any food allergies or any special accommodations required to attend?
Please list any food allergies or any special accommodations required to attend?
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Please provide the name and phone number of an emergency point of contact not traveling with you.
Please provide the name and phone number of an emergency point of contact not traveling with you.
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Is there anything else we should know or that you want to share?
Is there anything else we should know or that you want to share?
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