Name *

First Name

Last Name

Phone *

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What would your best friend say you are the MOST? *

Driven and Direct.

Steady, "Better safe than sorry."

Accurate, Detail Oriented, Dislikes Risk.

A People-Person, Talkative

Check the following boxes that apply to you. *

I am an entrepreneur.

I am a small business owner.

I want to perform with ease in all conditions.

I desire to experience freedom.

I am artful.

I act with integrity.

I am a dreamer.

I am an innovator.

I want to communicate with confidence & clarity.

I want to be seen.

I am authentic.

I am responsible.

I am collaborative.

I want deep connection.

I am focused.

I desire meaningful relationships.

I am determined.

I am a lover.

I want to release fear with somatic breathwork.

I am insightful.

I desire greater intimacy.

I want support.

I am a giver.

I desire to be fully expressed in mind and body.

I am intuitive.

I am abundance minded.

What level of service are you most interested in? *

3 Months Private Mentoring

6 Months Private Mentoring

One Day Practice Performer VIP Intensive