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Rise & Reclaim Application Form

Apply to join this 8-week IFS and somatic support group designed to help you reconnect with your remarkable self-worth. We'll review your responses and follow up within 24–48 hours.

Full Name *

Phone *

Email *

What calls you to this group? *

Are you currently in individual coaching or therapy? *

Do you prefer to pay in full or weekly? *

Consent to Group Guidelines

I understand this is a growth-based group and not therapy or crisis support. *