Enrollment form for the coaching program

Enter Your Contact Information

First Name 

Last Name 

Email

Address

How'd You Hear About Us?

Choose Your Plan 

  Full Payment of $1,600  

IMPORTANT: By clicking agree, you agree that your total amount for today is $1,600

(applied to the weekly coaching rate).  You will then be charged $1,600 for your 8-week coaching program.

  Weekly Payment of $200  

IMPORTANT: By clicking Sign up, you agree that your total amount for today is $200

(applied to the weekly coaching rate).  You will then be charged $200 once a week your 8-week coaching program. The total balance of $1,600 must be paid in full before the last coaching session.

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