September's 21-Day Challenge - Sign Up Form
Complete the form below if you plan to participate in September's 21-Day Challenge! What are you committing to? A minimum of 15 minutes a day doing something on your “Things I Wish I Made More Time For” List.

START DATE: September 1, 2021 ... END DATE: September 21, 2021
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First & Last Name *
Address: *
Phone # *
Email Address: *
Preferred Method of Communication for Daily Check-In: *
My financial commitment ... *whatever you can afford is enough. If you can't afford anything right now but you still want to be a part of this challenge, that's fine too.* *
My charity of choice ... *
Please select ONE of the following ... *
Questions / concerns I still have ...
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