Application "Birthing Yourself Into Being Group Program" 2017

Please fill out this short form to talk with Susan about The Birthing Into Being Group Program (December 2021 - August 2022)
Name *

First Name Last Name
E-mail *
Address *

Street Address

Street Address Line 2

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Phone Number *

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What are the biggest challenges you're facing right now?
What changes would you like to see in your life over the next 9 months?
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Please fill out this short form to talk with Susan about The Birthing Into Being Group Program (December 2021 - August 2022)