Self-Care Challenge Sign Up Form
Complete the form below if you plan to participate in either of the Self-Care Challenges starting February 1st, 2021.
First & Last Name
I would like to join ...
the 12-Day Self-Care Challenge (February 1st - 12th, 2021)
the 4-Week Self-Care Challenge (February 1st - 28th, 2021)
My financial commitment ... *whatever you can afford is enough. If you can't afford anything right now, that's fine too.*
My charity of choice ...
Please select ONE of the following ...
I will submit donation, providing proof of receipt on or before the last day of the challenge I selected.
I will give money to Leanne Hintz, who will submit donation then provide proof of receipt on or before the last day of the challenge I selected.
I understand that by committing to this challenge, I am making a PROMISE to ME ... *CHECK ALL THAT APPLY*
I am also willing to participate in the The Monthly Challenges Club in TEAMS or on FB (e.g. celebrate progress, encourage others, etc.).
I MAY find it difficult to post daily in The Monthly Challenge Club in TEAMS or on FB.
I hope to show up in TEAMS or on FB on a regular basis. I know this will be another way for me to stay accountable.
I would prefer to just "chat" with Leanne (or other participants) privately.
Send me a copy of my responses.
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