Black Girl Magic Experience Registration Form

Black Girl Magic Experience Registration Form

Helping Black women chart and implement their vision of a happy life

This six-week experience will help you become clear about the specific goals you want to accomplish and develop a realistic action plan.

Participant Investment*: $297

Only 6 seats available. Apply now!

*investment includes all program material, three group workshops, and two 30-minute one-on-one coaching sessions

Experience Schedule (in-person and virtual workshops)
June 10	11:30am - 2:30pm
June 24	11:30am - 12:30pm
July 8	11:30am - 1:30pm
July 22	A celebratory event in Washington DC area

	(Eastern time)

Do you live in the Washington DC Metropolitan Area (the DMV)?*

YESNO
Would you be interested in participating in a one day workshop or the entire six week experience?*

I prefer a to participate in a one day workshop. ($197 investment)I prefer to participate in the full six week experience. ($297 investment)It doesn't matter. I just want to be a part of the experience.
Let's Get To Know One Another!
Name*

First NameLast Name
Cell Number*
Email*
example@example.com
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is one goal you want to accomplish this year? Be specific.*
For example, I want to pay off $25,000 of credit debt.
Are you committed to doing the work to experience a change in your life during the six-week experience?*

YES, I'm completely inNO, I'm just curious in learning what other people are doingI DON'T KNOW, it depends on what else I have going on in my life
Would you like to participate in a celebratory event in the Washington DC area?*

YES, count me in! ($100 non-refundable additional charge)NO, I will plan a personal celebratory event
Payment Information

An invoice will be sent once the six participants are selected. Payment will be due within 48 hours of receiving the invoice. Participants accepted into the experience will be notified no later than June 3.
Any additional comments or information you would like to share?
How did you learn about this program?

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Let's Get To Know One Another!