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The Virtual LIFE Village Interest Form
Do you need connection? The Virtual LIFE Village is a universal safe space to heal, learn and become a consistently better version of yourself.
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Email
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Your email
Full Name
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Residing State
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Residing Zip Code
Your answer
Age
Your answer
How do you want to get involved?
I want to Join a LIFE Group near me
I want to refer a child for coaching and/or support services.
I want to become a LIFE Coach, Mentor or Group Facilitator
I want to become a LIFE Support Sponsor to fund LIFE Groups & Scholarships
I am a business owner and want to collaborate and/or partner
I just want more information
Other:
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How did you connect with us?
TikTok
Facebook / Instagram
Attended a Group, Workshop or Speaking Engagment
Community and/or Private Network
Other:
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Tell us a little about why you're reaching out.
Your answer
Send me a copy of my responses.
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