Mind Body Breakthrough Application
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Email *
First & Last Name *
Why are you interested in joining Mind Body Breakthrough? *
Tell me about some of your current goals and any challenges you've faced trying to reach those goals: *
If you are accepted into "Mind Body Breakthrough", what are you realistically able to pay for this 12 week transformation program? *
Would you like to be considered for a scholarship? *
How did you hear about Mind Body Breakthrough? *
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