Sunryze - Darkness to Dawn Application

Complete this application to be enrolled into the Sunryze - Darkness to Dawn Program. These are private class sessions for enrolled students only.

What is your full name?(*)
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Address(*)
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City(*)
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State(*)
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Country(*)
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Cell Phone(*)
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Email Address(*)
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Have you or are you serving in the military?(*)
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In 500 words or less describe your traumatic experience(s)
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Have you received help previously for PTSD?(*)
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Will you commit to the 7 free sessions?(*)
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Do you have any questions or comments?
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