Application

First Name

Last Name

Address

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What 3 thing do you MOST want to change over the next 30-days?

The one thing that keeps you up at night:
The one thing you fear most:
The one thing you have tried to change and failed:

Why should you be selected as one of the 12?

Why do you want to do this?
Why should you be selected over everyone else?
What would this opportunity mean to you?

Your commitment

I commit to doing the program the full 30-days.

I will show up on time and ready for my private sessions.

I will show up on time and ready to participate in the group sessions.

I agree to provide a testimonial and review of my experience at the end of the 30-days.

By checking this box, I consent to receive non-marketing text messages from Michelle Niederer LLC and Sovereign Systems about marketing and program details. Message frequency varies, message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others.from Michelle Niederer LLC and Sovereign Systems at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

Payment must be made to secure your spot.

If you are not selected, your card will be refunded promptly.

You will receive notification via email to tell you if your application was selected or rejected.

Please check your spam if you don't see it. Allow 7-10 business days for a response.

Thank you for applying. We hope to see you in the challenge!

Sell Products *

THE THIRD SQUARE 30-Day Sprint Group Cohort, 4, 60-Min Sessions)

$297

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