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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?
What do you hope to gain from life coaching?

Thank you for choosing 

Luxe Wellness, LLC

Thanks for submitting!

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