Wild Radiants Interest Form

Welcome <3
I'm excited to be on this journey with you as you (re)claim your wild radiant self!

Please fill out the form below from your heart. This is not an interview - but to for me to know more about you, your dreams, your heart and if Wild Radiants is a right fit for you and your needs + desires! There is no right or wrong answer. Any and all details are welcome and appreciated for me to get a sense of you and how I can support.

Once you're complete, you'll hear back within 1-2 business days with next steps!

Please know that I only make an invitation to my program if it feels 100% in alignment for the both of us.

Feel free to send me a message/question via email or on instagram @inbusinessandlife if any questions!
If you haven't read through all the details of the offering before this form please look at: https://inbusinessandlife.com/wild-radiants/

with love,

Andrea
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Email *
First and Last Name *
Location (city, state, country) and/or time zone *
Preferred Pronouns
What are your intersectional/social identities? (some things to consider: race, ethnicity, sexual orientation, disability/ability, gender identity) *
How did you find out about Wild Radiants? What inspires you to want to work with me specifically? *
What brings you to Wild Radiants? What would the next 4 months of your life look like connecting to your wild radiance, with a village of other Wild Radiants to be with you? What are you wanting to embrace and/or step into? Please share all the things you feel called to/what you feel is important to know about you in this time of your life. *
Please share and celebrate with me some things that are already amazing about you, because yes there is so much amazingness. I'm just giving you the space here :) This will be part of the practice/time together! *
Please share any information about your physical or mental health history that is relevant to the reclamation work we will be doing.
Select the response that most describes how ready you are to join the magical and healing community that is Wild Radiants! *
If you responded with the 2nd or 3rd option, please share your questions, fears, or concerns here! All of these are received with love and we can talk more about it. Please know that if it's not a fit I will be able to recommend other coaches/practitioners. I'd love to support you in making the decision that is best for YOU.
If you are wanting to be considered for a partial scholarship (for the amount of $555), please share with me how being a part of Wild Radiants would support you in your leadership, business and life.
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