RECLAIM YOUR THIRTIES PROGRAM

Application Form

I am celebrating you signing up to this program and taking the first (and most important) step to reclaiming your thirties!

Instructions: Please fill out this application form to register for the Reclaim Your Thirties Program. I am interested to know what you would like to get out of the program itself and why you are a good fit for the program. The more detail you can provide, the better. Once your application has been received and reviewed, and you are accepted into the program, you will be sent a payment link (via emma@coachingwithemma.com so please check your spam within 24 hours of applying).

Submitting the application is committing to paying once you have been accepted.

Name*

Age*

Location (City, County)*

Email*

What are the main reasons you would like to take part in the Reclaim Your 30s Group?*

What are the two key things you would like to focus on in the next three months and up until now, what has been holding you back from working on them?*

Why is now the perfect time for you to work on these things?*

Are you ready to invest energetically, financially and emotionally into reaching your goals?*

(Please note you will be expected to contribute to the group and be open to making new friends with the other participants as part of the Reclaim experience)

Have you ever been coached before, been to therapy or taken part in any personal development courses?*

Will you be paying upfront or payment plans?

Upfront

Payment Plan

Depending on which you select, you will be sent the payment details to transfer the coaching fee.

By signing up for Reclaim Your Thirties Program, you agree to the full Terms and Conditions. Click here to read these in full.

Thanks for submitting!

RECLAIM YOUR THIRTIES PROGRAM

Application Form

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