Man Power Enrollment Form
If this Enrollment Form is completed and submitted by a Client, the Client shall be deemed to have read the Terms and Conditions of our Services as well as the Contract in accordance with condition 4.1.

Please find the Contract on www.nicoleolsthoorn.com/manpowercontract (Password: 555)
Please find the full Terms and Conditions on www.nicoleolsthoorn.com/terms

To finalise your enrollment into your MAN POWER Premium Private Program:
1. Submit this Man Power Enrollment Form.
2. Complete your payment via paypal.me/CelticGoddessLtd.
3. Private message us so we can welcome you into your MAN POWER Experience and schedule your Energetic Blueprint VIP Intensive.
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Email *
FULL NAME, INCLUDING MIDDLE NAMES *
DATE OF BIRTH *
MM
/
DD
/
YYYY
FULL ADDRESS (INCLUDING COUNTRY) *
PHONE NUMBER (INCLUDING COUNTRY CODES) *
HOW WOULD YOU DESCRIBE, IN YOUR OWN WORDS, YOUR REASON FOR JOINING "MAN POWER"? *
WHAT IS YOUR MAIN GOAL FOR YOUR RELATIONSHIPS IN THE NEXT 12 MONTHS? HOW WOULD YOU LIKE YOUR RELATIONSHIPS TO IMPROVE? *
ON A SCALE FROM 0 TO 10, HOW COMMITTED ARE YOU TO ACHIEVING THIS? *
HOW WOULD IT CHANGE YOUR LIFE IF YOU KNEW HOW TO COMMUNICATE YOUR DEEPEST DESIRES WITH YOUR WOMAN IN A WAY THAT WOULD OPEN HER UP AND UNLEASH HER IN THE BEDROOM (EVEN MORE)? *
ON A SCALE FROM 0 TO 10, HOW COMMITTED ARE YOU TO ACHIEVING THIS? *
Not so much
Very much so
WHAT ARE THE 5 THINGS YOU WOULD LIKE TO IMPROVE ABOUT YOURSELF WHEN IT COMES TO YOUR RELATIONSHIP AND THE CONNECTION WITH YOUR WOMAN? *
ON A SCALE FROM 0 TO 10, HOW COMMITTED ARE YOU TO ACHIEVING THIS? *
Not so much
Very much so
WHAT ARE YOUR BIGGEST SETBACKS / WORRIES ABOUT YOUR RELATIONSHIP AND THE CONNECTION WITH YOUR WOMAN? IF YOU COULD REMOVE ONE THING THAT FRUSTRATES YOU ABOUT YOUR RELATIONSHIP, WHAT WOULD IT BE? *
HAVE YOU EVER HIRED A COACH, BEEN PART OF A MASTERMIND OR PURCHASED A PROGRAM? IF SO, WHAT WAS YOUR EXPERIENCE LIKE? WHAT WAS THE INVESTMENT? *
CLOSE YOUR EYES. WHAT DOES YOUR DREAM DAY/LIFE LOOK LIKE? DESCRIBE AS VIVIDLY AS YOU CAN. *
HOW ALIGNED DO YOU CURRENTLY FEEL/THINK YOU ARE WITH YOUR SOUL MISSION AND LIFE PURPOSE? *
Not so much
Very much so
HOW COMFORTABLE ARE YOU WITH YOUR OWN EMOTIONS AND SHARING HOW YOU FEEL WITH OTHERS, INCLUDING OTHER MEN? *
Not so much
Very much so
HOW CALM, CONFIDENT AND CERTAIN ARE YOU ABOUT YOURSELF, YOUR LIFE AND WHERE IT IS HEADING? *
Not so much
Very much so
HOW PHYSICALLY FIT DO YOU CURRENTLY FEEL? *
Not so much
Very much so
HOW SATISFIED ARE YOU WITH YOUR RELATIONSHIP, YOUR SEX LIFE AND THE LEVEL OF INTIMACY IN THE BEDROOM? *
Not so much
Very much so
HOW SATISFIED ARE YOU WITH YOUR CURRENT WORK-LIFE-BALANCE? *
Not so much
Very much so
HOW SATISFIED ARE YOU WITH YOUR CURRENT FINANCIAL SITUATION? *
Not so much
Very much so
WHAT DO YOU DESIRE TO LEARN THE MOST THAT YOU CANNOT SEEM TO FIND ANYWHERE ELSE? *
By submitting this form you agree to have read the Contract as can be found on www.nicoleolsthoorn.com/manpowercontract. (password: 555) *
By submitting this form you agree to paying the total Program Fee as mentioned in the Contract in full to The Celtic Goddess (Ltd). Payments are to be done via paypal.me/CelticGoddessLtd *
By submitting this form you agree to have read the Terms and Conditions as can be found on www.nicoleolsthoorn.com/terms *
When you have submitted this form, please send us a private message so that we can support you in finalising your enrollment + schedule your Energetic Blueprint VIP Intensive to welcome you in your MAN POWER Premium Private Program Experience. *
Pleease sign + submit this Enrollment Form by writing your FULL NAME + CURRENT LOCATION + TODAY'S DATE below and clicking "submit" at the bottom of the form. *
A copy of your responses will be emailed to the address you provided.
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