Coaching Client Information Form
Welcome to the world of performing arts business education, support and training with your Mentor and Coach, Josephine Lancuba. You made it!

This form is a requirement for new and recurring clients as it helps us to get to know you better. It also sets the intention to participate wholly inside of your coaching course, social club or program selection.

If you are inside of Studio Talent Collective &/OR a Talent Manager Bootcamp participant and have more than one Studio Owner in your business, then you need to fill this form in for each participant. A maximum of 2 team participants (per business) can take part for the above mentioned offers at the one price.

We look forward to getting to know you! Or for those with us again this year, we look forward to having a refresher on where you are now. Let's go!
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Participant's Full Name *
Do you have more than one studio owner / business owner in your organisation? *
Email *
Mobile Phone *
Which program/s are you currently active within or joining? *
Required
Date of Birth (for stats reasons only) *
MM
/
DD
/
YYYY
Where are you from? Include state/city and country location. *
Full Address *
Include number, street & suburb (we may post things time to time)
Postcode/Zipcode *
What is your studio or business name? *
eg; Jenny's Dance Centre
What is your studio or business' suburb and country location? *
What's your instagram handle? (if none write N/A) *
Would you like us to tag you in our social media? *
What is your favourite lolly or treat? *
What's your favourite colour? *
If you are a current or new, Talent Manager Bootcamp course participant (only). Please tick to acknowledge you have read and agree to the course Terms & Conditions. View them here - https://drive.google.com/file/d/1aUyWF76PNI9xwQWAHoiEU7nLciPVDzmx/view?usp=share_link 
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