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Anxiety Mastery Group Program Registration

Event Timing: Held once/month, Register and then you'll be contacted with full details on dates each month and on the exact venue address!

** Please write your full name, full phone #, and main reason for participating, below  **
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Empower to Be Well Life Coaching
Name *
Email *
Phone Number (with area code) *
Address: Street, City, State, zip code *
What main objective do you want to accomplish from participating in this group coaching program? *
**NOTE** Special arrangements can be requested concerning payment(s). ** Upon completing this registration, Coach Darren Briggs will invite you within 5 working days to a 30-minute telephone consultation to discuss your application and growth objectives in more detail. At the end of the phone consultation, both parties can make informed decisions as to whether to engage in 1:1 coaching sessions in addition to the group program.
** Please acknowledge you understand the statement above in its entirety by typing your initials in all CAPS below.  **
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