The Daring Way™ - with Emma Collins
This form is an expression of interest for The Daring Way™ training that takes place in Southsea, Portsmouth, South East England.

Please make sure you click submit at the end of the form. If you don't see the confirmation page then please complete the form again or email us for support:

If the course you wish to attend is fully booked, please complete this form to join the waiting list and also express interest for future courses.

I look forward to seeing you there!

Email address *
Please indicate which Daring Way™ dates you are interested in. *
Please fill in your first name *
Your answer
Please fill in your family name *
Your answer
Your address *
Street, city, postcode
Your answer
Phone number *
Your answer
Experience *
Have you read any of Brené's books or taken part in any experiential trainings before? Please write a few words about where and when.
Your answer
Is there anything you would like me to know about your life? *
Please feel free to ask me to call if you prefer not to write it down.
Your answer
Please say a few words about what attracts you to this work. *
What do you hope to get out of the training? What is the one big difference you would like to see in your life 6 months from now?
Your answer
Fee *
Please indicate the amount you choose to pay for this workshop. The sliding scale range is £0 - £400. Confused? Please read the info on the website. You can also revise this offer when full registration is open.
Your answer
Please complete the captcha before submitting the form.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms