Devoted to you?
Share your level of commitment and interest through apply for Nourish below.
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Name *
First and last name
Email *
Phone number *
What is your date of birth? *
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What is your address? *
How do you spend most of your time? *
Please share your website or Instagram? *
What is your relationship with substance abuse? *
What is your relationship to your womb and breasts? *
Please share any spiritual, psychosomatic, therapeutic, personal development or nervous system work you have participated with, including bodywork. *
What would you hope to gain by working with me through Nourish? *
What about me speaks to you? *
What is your body calling you to experience at this time? *
What is your soul moving through currently? *
How devoted are you to showing up for you?
* We will meet 2x a month on Sundays at 2pm EST.
*
Do you understand that this is an investment in yourself that you are currently willing to make? 
Are you in need of a payment plan?
By applying for this experience, you also indicate you have read through my disclaimer on my website and fully understand that I do not offer returns on my services and that you are 100% responsible for all your decisions at all times. 
*By typing your name, you indicate you agree and understand the terms and conditions of this container.  *
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