The Daring Way™ /Rising Strong™ Questionnaire
If you are interested in attending an upcoming workshop or have committed to attending one, please submit the form below. Please complete the * sections to provide the confidential information needed to complete your registration. The rest of the questionnaire is optional, however, your willingness to complete it will help me know you better as you embark on this journey. If you are registering as a couple, please have each person complete a questionnaire. Once this information is received, you will receive an email or phone call from Heather with the next steps for enrollment. Your participation in the workshop/group is NOT confirmed until verified by Heather and upon the receipt of your payment along with the submission of The Daring Way™ Informed Consent. Once approved for the workshop, Heather will provide you with an opportunity to pay and submit the informed consent through her online client portal.
Thank you so much for providing this information! I will review the information you provided and follow up with you to confirm your registration.
For questions or more information, you may contact me at: email@example.com