I'm a coach
Section 1
Your 'CONTACT DETAILS 1" will be provided to the Covid front line workers so they can make an appointment for a free session. CONTACT DETAILS 1 could be your email, your phone, your LinkedIn-url, your website........ Choose a contact method that you want to be used when front line workers contact you.

Section 2
Only coaches who also want to be "on-call" need to fill out the second section. Make sure your phone number is included in section 2 , so the front line worker can get in touch with you

I (Rita Termote) will not use this list for marketing strategies.

Country *
Language(s) of coaching *
First name *
Last name *
Contact Details 1 *
Email Address for Internal use by Rita *
Do you want to be on call? *
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