Shakti Summer Series Application Form
Fill out this short form to apply for Fulcio's Summer Shakti Series.
Please remember to click SUBMIT to confirm your application
Sign in to Google to save your progress. Learn more
Email *
First name: *
Are you based out of Columbus? *
How would you describe your relationship with yourself? *
On a scale of 0-10, how much do you love yourself? *
none
fully
What do you think it will take to increase that number? *
Describe your journaling habits, what you do for self-care, and what you want to work on throughout the Shakti series. *
If accepted, how would you like to be contacted to schedule your Shakti follow-up? *
If text/phone call, please provide your phone number here:
Thank you for your applying!
Please remember to click SUBMIT to complete this form!
You will receive in email within 24 hours to know that this form has been received.

All applicants REQUIRE an introductory call with Amanda. This will help determine if you will be a good fit for the series, as there is a limited number and each participants needs to be fully prepared for the emotional journey ahead.

Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy