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* 1. In order to receive free coaching for COACH10K, we expect you to adhere to our code of ethics. Please confirm the following and sign at the bottom. If approved, a coach will reach out to you soon after to schedule your 30-minute session.

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* 2. In 2-3 sentences, please describe how COVID-19 has impacted you, your business or family.

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* 3. By filling in your information and submitting this form you declare that your answers to the above statements are truthful and understand that coaches will prioritize those individuals whom they feel can benefit most  from their help.

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