#COACH10K

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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.

I am over 18.

I confirm that I have been personally or professionally affected by COVID-19 and stand to benefit from coaching.

I do not currently hold, nor am I campaigning for any political office.

I am not a current client, nor an employee of an organization serviced by David Davila/Leaping Koi.

I have not previously participated in the #COACH10K initiative.

I'm willing to be recorded and provide feedback on the coaching at the end of the 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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