Name *

First Name

Last Name

Telephone Number *

(###)

###

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Available for all dates? *

I plan to attend all dates in the series.

I have a conflict with one or more of the dates.

Confidentiality *

By proceeding with registration for this event, participants agree to maintain the confidentiality of the matters discussed during the program. In order to foster an open and meaningful dialogue, discretion is expected. While participants may gain valuable insights and takeaways from the experience, which participants may chose to discuss with others outside the event, participants may not personally attribute any statements, information, or experiences relayed by others. Please contact admin@laurenpaxton.com if you have any questions about confidentiality before proceeding.

AGREED

Payment & Cancellation *

I understand that I will be invoiced for the registration fee in the amount of $120 USD following submission of this form. I agree to provide the courtesy of timely advance notice if I am unable to attend any event in this series following registration; however, I understand that registration fees are not refundable.

AGREED

Legal Terms and Conditions *

I have read and understand the Legal Terms and Conditions applicable to this series, linked below and found here: http://laurenpaxton.com/group-coaching-legal-terms-conditions

AGREED