Coaching Application Form
By filling out this application form it will give me a better insight into your current situation, how I can best support you & which coaching experience you are applying for. If your application is accepted, I will be in touch on how to proceed and your spot will be held for 48 hours upon acceptance. Shelley @ The Serene Soul Society x
Full Name
*
First Name
Last Name
E-mail.
*
example@example.com
Phone Number
What is your Instagram handle so we can connect? (If we're not already!)
How Did you originally find Shelley at The Serene Soul Society?
What challenges are you currently facing and what impact is this having on your life?
What would you like to achieve from our coaching together?
What is the biggest obstacle stopping you from achieving your goals right now?
If you could wave a magic wand, what would your ideal life look like?
On a scale of 1-5, (1 being not very and 5 being 100% motivated) how committed are you to doing the work to achieve your desires?
Please Select
1 - Not very
2 - A little
3 - Quite Committed
4 - Very Committed
5 - 100% I am committed
Where are you located and what is your time zone?
Which of my Coaching Experiences are you applying for?
Empowered Mindset Package (9 sessions) - £675 (or £175 x 4 monthly instalments)
Monthly Mindset Sessions - £77
If your application is accepted, please select how you wish to proceed with payment.
Full Payment
20% Initial Deposit to secure spot for later date
Monthly Instalments
Do you have a Discount Code? Type it here!
What is your availability for coaching sessions?
Weekday Evenings
Weekends
Other
Is there anything else you would like me to know?
If your application is accepted, I will be in touch on how to proceed. From this point of acceptance your spot will be held for 48 hours. After this time, your spot will no longer be held and may be claimed by someone else. Please check the box below to confirm your acceptance of these terms.
I confirm to the terms outlined above
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