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Teen Groups Inquiry
Fill in this form to get more information about my teen groups. I will contact you directly.
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* Indicates required question
Who is filling out this form? (Teen / Parent) and your name(s)
*
Your answer
How did you find out about my group coaching?
*
Instagram
RLC / Jayne Referral
Other:
What are you hoping to gain from group coaching?
*
Improved body image
Improved confidence
Better relationship with food
When are you available to meet as a group?
Saturday Mornings
Saturday Afternoons
Sunday Mornings
Sunday Afternoons
After school
Other:
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How do you prefer I contact you?
*
Your answer
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