Elevate Together Intake Form 
Welcome! Please share some more information so I can getter support you :) 
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What is your first name? (Or name you go by)  *
What's the best email to connect with you? *
If you would like to be added to our what's app group, please share your phone number here. 
Let's get right into it - tell me why you made the leap to join this program!
What would transformation look like to you? 
What has held you back in the past the most from reaching your goals?
Holding space:
We will start in a large group, depending on the size of the group you may also be split into small accountability pods where you will meet weekly to follow a structured system of checking in. 

Holding space for one another in a vulnerable setting like this takes courage and commitment.

So we ask you consent to the following: 

By joining Elevate Together, you agree to:

- Respect everyone’s time, space, and perspectives
- Be kind, supportive, and professional
- Hold space for others as you’d like held for you
- Understand we reserve the right to remove anyone who doesn’t uphold these values.

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Thank you! Keep an eye on your email for invitations to our first scheduled sessions! 
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