Registration of Interest: Coaching Sessions
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Email address
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Select all that apply.
*
Coaching Panelist
Performance Artist / Presenter
Other:
Required
Do you have a story or program in mind
*
Yes
No
Maybe
Title and time?
*
Your answer
Are there specific areas of the performance that you'd like feed back on?
*
Yes
No
Please explain.
*
Your answer
Are you looking for general feedback?
*
Yes
No
Please explain.
*
Your answer
Phone
*
Your answer
Patchwork Member?
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No
Best time to reach you, EST.
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Morning
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Questions? Comments?
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A copy of your responses will be emailed to the address you provided.
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