Registration

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La Vida Loca by Lina provides a strong foundation to develop individual personal growth; using specific framework and programs to support you in successfully reaching your goals; emotionally, mentally, physically and spiritually to empower and positivley transform your life!
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Name* This field is required.
First Name
Last Name
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Date of birth
Month
Day
Year
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Gender
Male
Female
N/A
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E-mail address/ Instagram* This field is required.Please enter to join the virtual event via Google Meets
example@example.com
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Mobile Number
Area Code
Phone Number
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FOCUS AREAS:Chose 3 areas you would like to prioritise
Business/ Career/ Studies
Finances
Health
Family & Friends
Self love/self care
Personal Growth
Fun & Recreation
Physical Environment
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Type a brief sentence outlining how you would like to improve your selected focus areas:Example: Changing career from Builder to Architect
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You will be sent a Google meet link to join the event, make sure you have included your email address to connect.

If you need assistance, email me at lina@lavidalocacoach.com
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Additional Comments:
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Refer a friendType your friends' details below
Friends Name
Please enter email, phone or social media handle
Should be Empty: