BR Method Registration and Payment Form

BR Method

8-Week Intensive
Butterfly Rising uses a systematic approach in which each woman can focus on one of three topics - career, communication, and cash flow - and learn how to take actionable steps toward making significant changes.

Our 8-week BR Method™ includes a personalized group program and two 1-on-1 coaching sessions that target the obstacle causing the most significant challenge. After the program is complete, single mothers receive a certificate of completion and are empowered to soar on their own.

The 8-week Intensive Includes:

Group Sessions - The program starts with group sessions that provide a supportive environment to learn and grow in a targeted area of development.

Individual Sessions - As they progress, participants move on to individual coaching sessions tailored specifically to their unique needs and goals.
Name

First NameLast Name
Age
Phone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Marital Status

SingleMarriedDivorcedWidowed
Occupation
How many children do you have?

123+
Which one of the following areas gives you the most anxiety?

My career pathMy communication with family, friends, and/or co-workersMy cashflow - saving enough money for the future
Why are you registering for the BR Method 8-week Intensive
What are your personal goals?
What are your professional goals?
What changes would you like to make in your life right now?
What are you willing to do to achieve your goals?
What are your expectations from this coaching relationship?
AGREEMENT/REMINDERS:

I understand that all information I entered in this form will be considered strictly confidential.

The data gathered from this form will only be used as a basis for the type of coaching the client will need.

I understand that in order to be successful, it is vital to follow the plan accordingly.

Upon receipt of this registration form, detailed information will be submitted for your review and signature.

BRI looks forward to supporting you in your transformation.
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How did you find out about our services?

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Pay in FullThis is paying within 5 days of invoice

$1,499.00

Total

$0.00

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