Vital Mind Reset - Share Your Story
If you're like most of the folks in our tribe, sharing your story brings you to the edge of your comfort zone, and maybe beyond. But you may also have had a life-changing healing experience because of someone else who inspired you to think bigger about your health. I am grateful that you are standing with me in service of a more beautiful world where diseases and illnesses can be shed, and true resiliency, vitality, and self-discovery are realistic expectations.

If you're willing to record a short video testimonial, I'd love to hear more about how you have reclaimed your life, health, and hopes. Anything less than five minutes would be perfect, but it's ok if you go over. Some talking points could include:

* Anything you want to share about previous symptoms, diagnoses, or treatments
* What made you consider this program when you did
* What were the results/insights

In gratitude for your solidarity and courage in sharing your transformation, we are offering 3 months membership to my new group coaching calls and also a 50% off link to "pay it forward" to a friend or loved one who might consider doing Vital Mind Reset on your recommendation.

Thank you for being you!

P.S. We use first names only for videos on our wall.

First and last name *
Email address *
Which of the following have you done? *
What is your name in the private Facebook group if applicable?
How has this program changed your life? *
Upload your video
Anything else we should know?
Are you comfortable with us sharing your story on our website using just your first name? *
By checking the box below, I agree to the following video release terms and conditions *
I hereby grant permission to the rights of my image, likeness and sound of my voice as recorded on audio or video tape without payment or any other consideration. I understand that my image may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording. I also understand that this material may be used in diverse educational settings within an unrestricted geographic area. Photographic, audio or video recordings may be used for the following purposes: conference presentations, educational presentations or courses, informational presentations, online educational courses, educational videos. By signing this release, I understand this permission signifies that photographic or video recordings of me may be electronically displayed via the Internet or in the public educational setting. I will be consulted about the use of the photographs or video recording for any purpose other than those listed above.There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed. This release applies to photographic, audio or video recordings collected as part of the sessions listed on this document only. By signing this form I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby. I hereby release any and all claims against any person or organization utilizing this material for educational purposes.
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