Booking Form

Service Request & Booking Form

Suppressed Wounds Redemption and Recovery, LLC
CLIENT / ORGANIZATION INFORMATION*

Full NameName of Organization
Are you a state-run or government-funded organization?*

YesNo
E-mail*
example@example.com
Phone Number*
Services & Starting Rates

Trauma-Informed Care Workshops (6 Weeks)
Broken Girl, Whole Woman – $150
Brother Be Healed – $150

Coaching & Consulting
Trauma-Informed Care Coaching – $75/hr
Self-Publishing Coaching – $150 (first 3 hrs) | $50/hr after
Business Coaching – $150 (first 3 hrs)

Youth Empowerment & One-on-One Support
Youth Empowerment Workshops – $25/hr
Individual Coaching for Youth – $25/hr

*Small group sessions focused on self-esteem, boundaries, safety, anager management and life skills.

Publishing & Digital Creations
Book Cover Design Only – from $75 (up to 3 corrections included)
Editing & Formatting Only – $150 (3 hrs) | $50/hr after
Paperback Formatting & Publishing – (Interior layout for print-on-demand books)
E-Book Creation & Publishing
Digital Store Setup – Rate varies (Set up for digital products online)
Custom Workbooks/Curriculum

Speaking, Performing Arts & Media
Motivational Speaking – from $150
Spoken Word / Poetry – from $150
Podcast Guest / Host – Rate varies

Career & Life Development
Career & Job Development (Adults) – $25/hr (Resumes, Applications, Coaching)
Career & Job Development (Youth) – $25/hr
Professional Documentation Services – $25/hr (Forms, Letters, Applications)
Social Services Navigation – $25/hr (SSI, SSDI, SNAP/Link Assistance)

Training & Government Services
Employee Training – $150 (3 hrs)
Illinois State-Run / Government Services
(Registered Illinois Public Vendor – BidBuy)

Office Space Leasing/Rent
Office / Building Sublease – Inquiry required
What service(s) are you requesting?*

Workshops (6-Week Trauma-Informed Programs)Coaching & ConsultingYouth Empowerment & One-on-One SupportPublishing & Digital Creation ServicesSpeaking, Performing Arts & MediaCareer & Life Development ServicesTraining & Government ServicesOffice Space Leasing/RentalOther
Please provide a brief description of the service(s) requested:
Important Client Agreement & Disclaimer
Trauma-informed care coaching, youth empowerment workshops, and one-on-one support for survivors are not substitutes for licensed counseling, therapy, or mental health treatment. Services are supportive, educational, and empowerment-focused.All coaching and youth sessions require payment at the beginning of service.

By submitting this form, you acknowledge and agree to these terms, pricing, and limitations. Suppressed Wounds Redemption and Recovery, LLC reserves the right to refuse services that conflict with organizational values, ethics, or safety standards.
Agreement & Disclaimer Terms*

I understand and agree to the client agreement, service limitations, and payment terms.
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Thank you for your request. We will review your submission and contact you within 48 business hours to confirm scheduling, pricing, and next steps.
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Service Request & Booking Form