Event registration & Intake Form
Event Timing: April 15 - 17 from 9am to 12pm daily
Event Address: Diani Beach
Contact us: +254731765083  lavieafya@gmail.com
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Email *
Experience Transformation Intake Form
    A 3 day immersive transformational experience designed and tailored for 12 people

To participate in this experience, please fill in the form below to secure your spot.                                                                                                                                    We are looking to work with those ready to take charge of their lives and those committed to doing what it takes to achieve their own transformation. Upon reception of your intake form,  we will get back to you with payment details.                                                                                                                            Upon receipt of payment, you will receive a personalised numerology reading and be added to the Whatsapp group.
Times:
Friday 15th April - 9am to 12pm/ Saturday 16th April - 9am to 12pm/ Sunday 17th April 9am - 12pm
There will be a networking vegan/vegetarian lunch catered by Gourmet Chef Andy on Sunday 17th from 1pm at an extra price of 2000 Ksh. Would you like to join the lunch? *
Full Name (as per birth certificate) *
Birthday *
Telephone Number *
What has/have been your core emotion(s) since 2020? *
How are you dealing with this? *
In your own words/ views/ opinion describe what you feel is the bigger picture of what is going on in the world? *
If money were not an issue what would you be doing with your life? *
If you were completely free to be you, what would you be doing with your life?
What is holding you back from this? *
Are you committed to doing what it takes to achieve your greatest desires? *
On a scale from 1 to 6, 6 being the most committed; how committed are you to your transformation? *
In what way are you committed? *
What is/ are your biggest fear(s)? *
I understand that I will be contacted to process payment upon which I will receive my personal numerology reading. *
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