LMTLSS Interest Form

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LMTLSS Interest Form

LMTLSS Interest Form

Please indicate interests in our programs and/or register for any specific events here. We will set up a free consult call to determine goodness of fit, discuss details, and answer any questions you may have.

1
Full Name
First Name
Last Name
2
E-mail:Please indicate correct E-mail
ex: myname@example.com
3
Phone Number
Please enter a valid phone number.
4
Gender
Man
Woman
Non-Binary
5
Which Services Interest You?All services include medicine, if desired
LMTLSS YOU: 3 Month Transformation Program with Dr. Brett (individuals, couples, corporate teams)
LMTLSS LOVE: Intimacy & Eroticism Workshop
LMTLSS TALENT: Creativity & Performance Workshop
LMTLSS ALPHA: High Performance Men's Group (or spouses of high performers)
LMTLSS OMEGA: High Performance Women's Group (or spouses of high performers)
LMTLSS OASIS: Semi-Annual, Large-scale, High Performance Retreat
Private Individual Medicine Session
Private Group Medicine Session (Couples, Friends, Family, Forum, Corporate Team)
Transformational Coaching
YPO Retreat: Run It Back!
Public Speaking Event with Dr. Brett (Achievement or Intimacy Keynotes)
6
Which provider would you like to work with?
Please Select
Please Select
Dr. Brett Donnelly
Hilary Horrigan, MA
Stefanie Donnelly, MA
7
Would you like to be contacted for a free consultation on getting started?
No Contact
Phone
Text
Email
Should be Empty:

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