Coaching Café Form

Lucy's Coaching Café Form

Please complete this form in its entirety and submit after you register. You will receive a confirmation email.
NOTE: No Refunds once payment is made. However, you can attend any one Coaching Café in the future.

* Indicates required field

Name *

First

Last

Your Full Birthday (Month/Day/Year) *

Email *

Cell Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Accept texts at this cell number? *

Share main reasons for attending Lucy's Coaching Café: *

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