STUDENT INTAKE FORM

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Use tab to navigate through the menu items.

First Name

Last Name

Country of residence

Phone

Email

Why do you want to be a Life & Wellness Coach?

Are you already working with clients?

Are you ready to invest in changing your life?

What are your expectations from this teacher / student relationship?

Have you ever worked with a therapist or a life coach?

It starts with an intuitive impulse that
leads to a conversation..

NETEN

Education and Alternative Therapy Center

Perez Zeledon

COSTA RICA

11901

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