Name *
Name
Address *
Address
Phone Number *
Phone Number
This is the number Laura will reach you at to discuss the program.
Arriving At The Gates *
I acknowledge that by filling out this application I am not obligated to join the Soul Birthing program nor does filling out this application promise entry. I understand that if after speaking with Laura it is determined that I would be a good fit and I commit, I am making a year long commitment to the program. I understand that I will be subject to the program terms and the vows made between myself and Laura which will be delivered and signed by each of us. Additionally I acknowledge Laura in role of mentor and coach and I as participant. I understand that this is a cocreative process and that I get out of this program what I put into the program. Do you understand the statement above? If so, please check "yes".