Re-Wild 1:1 Application Form Name * First Name Last Name Email * Your Birth date information MM DD YYYY Birth time (as accurate as possible) Hour Minute Second AM PM Birth location (City, Country) What has sparked your desire for coaching?: Have you ever invested in a coach before? If yes, what was your experience like? If you could have 3 specific things shift in your internal world, what would they be? If you could have 3 specific things shift in your external world, what would they be? What usually gets in the way when you’re trying to transform a belief or pattern? What does Soverignty and Personal Responsibility mean to you? This application is for 3 months of work together. Are you committed to showing up, prioritizing yourself, facing your shadows and opening to the shifts that can happen? Are you ready to reveal your Inner Mystic and live Divinely as your true self? Definitely Nah, not now. Thank you so much for taking the time to apply for this work with me. I will be in touch within 48 hours with more information and an invitation to set up a discovery call so we can feel if our energy is a good fit together.