She Aligns Charity Act Please fill out the form to apply for the She Aligns Charity Act Name * First Name Last Name Email * Phone * Country (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Monthly personal income * (in local currency) — please estimate honestly Main source of income? * (e.g., sari-sari store, freelance, corporate, none) What makes paying €225 impossible for you right now? * How did you hear of us? * Instagram Friend What personal goal or challenge would you bring to this session? * If you receive this free session, how will you pay the gift forward in your community? * Have you spoken your truth? * I certify that the information above is true and that I could not otherwise afford this service. Thank you!