Group Coaching Client form

1

What is your name?* This field is required.Please enter your preferred first name.

First Name

Last Name

2

What is your email address?* This field is required.Please enter the email address you would like me to use to contact you.

example@example.com

3

Please can you tell me your mobile number* This field is required.I'll use your mobile number to remind you about bookings and to check in with you between sessions.

Please enter a valid phone number.

6

Your top priority* This field is required.Please could you tell me a bit more about your top priority. What is it about it that makes it a challenge to you?

7

Terms and conditions* This field is required.Please contact Jenny if you have any concerns about these terms

8

GDPR Notice* This field is required.I hope you will be happy for me to store your data in accordance with GDPR regulations (and also in the unlikely occasion where I will need my coaching log audited by the ICF).

Please tick here if you agree for me to hold your personal contact information in line with the Data Protection Act (DPA 2018) and UK General Data Protection Regulation (UK GDPR).

9

Signature* This field is required.By signing here you agree for Jenny Sharp Coaching to hold your information for the purpose of contacting you in regards to services provided (and for the ICF to be able to audit my coaching log should it be required for accreditation).

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