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REGISTER FOR YOUR COMPLEMENTARY 60-MINUTE ODYSSEY COACHING SESSION
PLEASE FILL OUT ALL INFORMATION COMPLETELY.


CONTACT INFORMATION

Last Name First Name Middle Name


Address City State Zip


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SCHEDULING INFORMATION

Preferred Day for Discovery Coaching Session
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Preferred Time for Discovery Coaching Session
Morning (Available only on weekends)
Afternoon (Available only on weekends)
Evening



What are your writing goals?

What is preventing you from pursuing and/or achieving your writing goals?

Other Comments:

Terms of Agreement: Content of coaching sessions, in any format, is for the individual client only. Such content includes handouts, readings, emails, files, resources, and recordings. Coaching content may not be posted, copied, shared, or distributed. The copyright of coaching content belongs variously to Sherry Peters or to the Odyssey Writing Workshops. I certify that the above information is correct and complete to the best of my knowledge. I authorize investigation of all statements contained herein to provide Odyssey with any pertinent information. My signature below indicates my agreement to these terms of agreement.

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If you are unable to use this online form, fill out one of the forms below and email it to Jeanne Cavelos at jcavelos@odysseyworkshop.org and Sherry Peters at slpeters007@gmail.com.   Note that the two forms below are identical, and identical to this online form, except for their format.   Fill out and submit only one.   Contact Jeanne Cavelos if you are unable to use any of these.  
Odyssey Coaching Registration (.doc)
Odyssey Coaching Registration (.txt)


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Except where noted, Content © 1996 - 2017 Jeanne Cavelos
jcavelos@odysseyworkshop.org
Updated January 19, 2017
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