I’m so excited you’re interested in coaching with me! Please complete the application and I’ll be in touch shortly! APPLICATION FOR PRIVATE COACHING WITH LAURIE DUPAR First Name Last Name Email Address Phone Number Where are you located? Country/State/Province How did you find out about me? Who is this application for? (yourself or a loved one?) Who is this application for? (yourself or a loved one?)MyselfMy loved one Let's get a little background info: Age, gender, job role/school grade etc. Can you tell me a bit about the current situation? What are you experiencing that prompted you to reach out? What are you hoping to get out of the coaching experience? Please initial the box that you are aware that the investment for coaching packages start at $4200 1 + 8 = SUBMIT MY APPLICATION