Odyssey of Breath & Voice
Hello Friend!

We are SO excited to share this sacred journey through the Odyssey of Breath & Voice with you. 

Thank you for taking the time to complete this application. This will help clarify your intentions for our time together and also give us more understanding of where you are and what brought you here.

Please know everything you share here is private and confidential. Please feel free to share openly.

Shortly after submitting your application, you’ll receive an email notification of next steps. If you do not receive the confirmation, or have any questions regarding the application, please contact me at: denise@denisefcooper.com

Let's get started!

Love,
Denise & Carolyn
Sign in to Google to save your progress. Learn more
First & Last Name *
Email Address *
Phone Number *
Where are you located? (City, State, Country) *
If you could summarize in one sentence, what is your intention for our 6 weeks together?
*
What has been your relationship with your vocal expression? *
What fears or blocks have stopped you from your vocal expression? *
Which payment plan will you be choosing? *
I understand there are no refunds or transfers. *
Do you have any questions for us? *
Are you in need of a Scholarship? If yes, fill out the section below. If no, skip the section below. *
SCHOLARSHIP SECTION:
If you are in need of financial support, we are offering 2 partial scholarships of $111 usd discount. Please answer the following questions. If you are not in need of financial assistance, you can skip these questions.
Explain your situation a bit and why you need financial support for this program.
How do you think this program will improve your life?
What is one self sabotage you want to change that is blocking you from your vision?
Write your vision, dream big, no details too big or small. Share about yourself.
Thank you! We will be in touch shortly with next steps.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report