Unapologetic Retreat Application
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Email *
First Name *
Last Name *
Phone Number *
City and state you live in *
In a short summary, what would you like to experience at this retreat? *
What is currently your biggest challenge? *
What do you need the most support with? *
How willing are you to let go of what is not working for you? *
What about Jillian and her message deeply resonates with you? Why do you want to attend the Unapologetic Retreat? *
Have you ever worked with a coach before? *
What is your biggest fear that comes up when you think about attending this retreat? *
I understand Jillian is a self-worth and relationship coach and the primary topics she addresses are: self betrayal, codependency, and people pleasing. I understand working with Jillian means learning to get comfortable with setting boundaries, letting go of things misaligned with my values, grief, radical responsibility, and self loyalty. *
I understand if this retreat is a good match for me, this will be a major investment. This investment will require a commitment of funds, time, energy, vulnerability, and openness. *
How would you prefer the Goddess Support Team follow up with you? *
Required
How did you hear about Unapologetic? *
Required
A copy of this completed application will be sent to the email address you provided.
A copy of your responses will be emailed to the address you provided.
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