REGISTER FOR YOUR COMPLEMENTARY 60-MINUTE ODYSSEY COACHING SESSION
Your completed form should be emailed to Jeanne Cavelos at jcavelos@odysseyworkshop.org and Sherry Peters at slpeters007@gmail.com.  PLEASE FILL OUT ALL INFORMATION COMPLETELY. CONTACT INFORMATIONLast Name:First Name:Middle Name:Address:City:State:Zip:Country:Home phone:Cell phone:
SCHEDULINGPreferred 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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