Name
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First Name
Last Name
Email
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Phone
(###)
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Current Role/Profession
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What are your biggest challenges right now?
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What have you already tried to overcome these challenges?
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(Therapists, coaches, meditation, books, courses, etc.)
Why do you believe this work is the missing piece for you?
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What patterns, beliefs, or limitations are you ready to release?
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On a scale of 1-10, how ready are you to invest financially, mentally, and physically into this work?
(If it’s anything less than a 10, what would make it a 10?)
Checkbox
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This work requires presence, emotional courage, and a deep level of self-accountability. Are you open to fully engaging in your process with honesty and commitment?
Yes
No
Have you worked with a high-level coach, mentor, or somatic practitioner before? If yes, describe your experience.
This work is about you—your transformation, your healing, your embodiment. My role is to guide, challenge, and support you, but the depth of change comes from your willingness to fully show up.
By applying, you acknowledge and agree to the following:
I take full responsibility for my growth and transformation.
I understand that no one else can do this work for me—I must be fully engaged.
I am not here to become more like someone else. I am here to step into my fullest, most alive and embodied self.
I understand that deep change requires feeling and presence, and I am willing to meet what arises with curiosity and commitment.
I am committed to my healing and expansion—not just for myself, but for the impact I create in the world.
Which commitment level are you applying for?
3-Month Intensive (3 months, weekly sessions)
6-Month Mastery (6 months, weekly sessions)
This is a high-level investment. Are you financially prepared to commit?
Yes
No
I need to discuss options
What makes you the right fit for this level of work?
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Submit Application
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Once you submit your application, I will personally review it. If it aligns, you’ll be invited to a 15-minute alignment call to ensure this is the right fit for both of us.
Let's do this