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📝 Application Form: Community Contribution Tier

Full Name

Email Address

Contact Number

Location: City, Country

Why are you drawn to this session at this time?

What shifts or outcomes are you hoping to experience through this session?

Are you currently experiencing financial hardship?

Are you currently experiencing financial hardship?
A
B
C

What amount feels like an honest and respectful exchange for this work, based on your current means?

Are you willing to offer a testimonial after the session?

Are you willing to offer a testimonial after the session?
A
B

Anything else you’d like to share?

By submitting this form, You understand that Community Contribution sessions are limited and not guaranteed. If selected, You agree to show up fully and honor this space.