Participant Waitlist for Type 3 Support Group 1

Please complete this form and we will add you to the waiting list for Type 3 Support Group 1.

As a reminder, our Type 3 Support Groups are not open to practitioners and coaches.

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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Which are you a member of?

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* 5. Please confirm the following:

I am not a practitioner or health coach.