Thank you for your interest in the Your Kick-Ass Life Course! Please complete this form to the best of your ability.

The purpose of these questions is to get a high level understanding of your interest in this course with the goal of ensuring that this is a program suited for your needs.

We will review your application and will be in touch with you within the next few days. If your application is accepted, the registration process will continue.

If your application is not accepted, we will work together to determine next steps. 

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