Kickass Kickstarter Application
Thank you for your interest in working together. All client information is confidential and treated appropriately. I will notify you if your application is approved as soon as possible.
Only fields with an asterisk * are required. All others are helpful but not absolutely necessary.
Do you want to receive inspiration, updates, and gifts via email?
Yes, Keep me in the loop!
No thanks, I’m good!
Best Contact Number:
Preferred method of contact for your sessions
In Person (Vashon Only)
What is your main reason for seeking my support?
What are your biggest challenges when it comes to this issue?
What do you want instead?
On a scale from 1-10, how committed are you to accomplishing this?
What do you hope to get from our time together?
Should be Empty:
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