DR. MARUTI SHARMA
Application form to join wait list for the next retreat!
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Name
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First
Last
Email
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Phone Number
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Whatsapp Number
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What is your occupation? *
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Have you attended any prior Dr. Maruti Sharma's live trainings, such as seminars? *
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Yes
No
Have you purchased any of Dr. Maruti Sharma's recorded courses? *
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Yes
No
Planning Our Time Together
What results would you enjoy having as a result of our work together? *
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Overcome Depression & Feel Happier
Find My Soul Mate
Feel True Love in Existing Relationships
Learn the Science of Parenting
Feel more Confident
Learn to Meditate & Grow Spiritually
Become a Life Transformation Coach
Other
If you checked the "Other" box to the previous question, please describe:
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After we’ve worked on this, how will you know you’ve gotten the desired results, or even better? *
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Extremely Important Before You Submit Your Application (Please Proceed If You Agree To The Following):
Please be aware that Dr. Maruti Sharma does not offer, nor does he practice psychotherapy or professional medical service in any form. Should he take you on as a client, he does so as a coach and guide, not therapist. *
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Yes, I Understand And Agree, And I'm Ready To Get Started!
Yes, I have read the Disclaimer on the Website
Yes, I agree with the terms & conditions on the Website
Your confidentiality is fully protected! All of the information in your application and all information in subsequent communications with me will be held and kept in the strictest confidence. *
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Yes, I Understand And Agree, And I'm Ready To Get Started!
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