GODDESS RISING Form

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Goddess Rising

Application

First Name

Last Name

Email

Phone

What is your age range?

18-21

22-25

26-29

30-34

35-39

40-44

45+

What is your insta hande?

What resonate with you? Choos at least 4

1-on-1 instruction within an intimate group setting

support from a group

spending more time at the studio

really "mastering" a dance

the ability to feel really good about my dance abilities

celebrating me - memorializing me and my progress and my success

not feeling awkward when it comes to dance!

feeling badass!, sexy, empowered, feeling seen by me and others

feeling free and being rid of insecurities knowing I am 100% me

other

On a scale of 0-10 (10 being the best) how would you rate your dancing?

On a scale of 0-10 (10 being the best) how would you rate your confidence in your body?

What are your 3 biggest challenges with body image, life, or dance right now?

What are your 3 biggest dance and body goals you'd like to achieve in the next 6 months?

There are only 8 spots in Goddess Rising and it requires a financial and time commitment. Realistically, how committed and willing are you to investing in yourself and your growth?

$2,000-2,500

$2,500-3,5000

$3,500-$5,000

$5000+

Other

If you chose other (don't leave me blank)

Keep me up to date on KDFSTUDIO happenings

You are on the waiting list!

1531 Smith St. N Providence, RI 02911

Phone: (401) 369-9092

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