Membership Application

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Name*
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Please check the boxes that best describes your current interest and mindset regarding sessions:*
Are you willing to take full responsibility for your own health and make changes to your daily lifestyle?*
Are you willing to change your lifestyle?*
Are you willing to take the responsibility for yourself as a man or woman and not outsource your power to Steve Taylor as some “expert” or “professional?”*
Do you have the ability to make donations and or barter to receive the benefits of membership?*
Check the box that best describes your situation:*