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 Contact Registration

***Please Note***

1) All information gathered in this form is kept confidential, unless immediate safety concerns exist (risk to yourself, someone else, or a child at risk of harm).

2) All information is used for the purposes of serving you better. However, if there is anything you don't wish to answer please leave blank...the only mandatory fields are the contact information.

2) Previous Trauma (Other: please describe)
4) How Can HiRR Co Help? (Provide any additional details in 'Anything Else')
5) Which HiRR Co Service are you interested in? (Check all that apply)
7) Any other factors that may contribute to relationship issues for you at present?

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HiRR Company:

Online Registration Process


So happy you are here!! Congratulations on making the first (and often hardest!) step towards getting help and support! Strengthening your relationships, honoring yourself, and navigating difficult relationships together with others is a true GIFT to yourself.


Complete this simple online registration form to start the ball rolling....or CALL Jojo to complete a FREE Consultation if you have any questions or prefer a phone interview.


Once you have completed the Intake Registration and paid your program fee, you will be sent the monthly 'Google Meet' codes for TOOL TALKS or a 1:1 REAL TIME session will be scheduled via phone/email.


Looking so forward to navigating REAL relationships to LAST with YOU!

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