Camino Coaching Registration Form - The Camino Experience

APPLICATION / Registration REQUEST Form – Camino Coaching with Nancy Reynolds

You are in the right place! Please complete the form below and click the Submit button. Once I review your form, I will be back to you within one business day with our next steps.

I am eager to get to know you and your Camino dreams!

Note that fields with a red * are required. All others are optional.

Pro-tip: I suggest typing your answers to the questions below into a Word or Google doc and saving them there, before copying them into this form. That way, if anything goes missing during the journey to my inbox, it will be easy to complete the form again or send me a separate email.

Name *

First

Middle

Last

Name you go by (if different from first name)

Email *

Confirm Email

Full Home Address (including city, state/province, postal code, and country) *

Date of Birth (MM/DD/YYYY) *

What is your departure city/airport/train station? *

What date do you expect to leave your home country? *

How many days/weeks do you have for your entire Camino trip? *

What are your primary goals for your Camino Coaching sessions? *

Please tell me about your motivation and/or purpose for walking the Camino: *

What are your most immediate concerns, questions, or curiosities about the Camino?: *

Is there anything else you want me to know about you?

And now, I have a couple questions about what has prompted you to sign up for Camino Coaching with Nancy. What is the main reason for starting your Camino with coaching? *

What are the main benefits you hope to get by using this service? *