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Life Coaching Enrollment Form 

Please complete the form below to complete your enrollment. 

Are you under the service of a life coach, mental health therapist or psychiatrist?
Are you experincing suicidal/homicidal thoughts?
What areas of life coaching are you interested in working on?
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What do you hope to gain from life coaching?
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Thank you for choosing 

Luxe Wellness, LLC

Thanks for submitting!

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