Free 30 Day Introduction to Earn Your Wings Coaching Program Registration Form

Free 30 Day Introduction to Earn Your Wings Coaching Program Registration Form
Session 1 Schedule
Date - November 1-30, 2024
Virtual Check-Ins- Every other Wednesday at 8pm Eastern
Topic - FREE 30 Day Coaching

Session 2 Schedule
Date - December 1-30, 2024
Virtual Check-Ins- Every other Tuesday at 8pm Eastern
Topic - FREE 30 Day Coaching
Student Information
Which session above are you interested in?
Name

First NameLast Name
DOB

MonthDayYear
Date
Age
Gender
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Shipping Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Copy and paste your bio here
Upload your bio here.

Cancelof
Emergency Contact Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Relationship
Are you a Survivor of any of the following:

Other
How do you learn about this virtual free coaching?
Have you ever shared your story publicly? If so please share details.
Why do you want to be an Advocate? And for what cause?
All students must purchase a copy of Earn Your Wings: A 30 Day Journey from Survivor to Advocate from tiffanylbrown.com or Amazon plus the Writing Journal. Please type your full name agreeing to purchase the required books within 7 days. All purchases are NON-REFUNDABLE.
Date Signed

MonthDayYear
Date
The relevant links will be provided in the autoresponder email after you successfully registered.

If you have any questions, please email or call us using the details below:

Earn Your Wings Academy

Email- thetiffanylbrown@gmail.com
If you were referred to our program, who referred you?
By signing my full name below, you voluntarily enter into the FREE Earn Your Wings 30 Day Virtual Training. All course information will be emailed to you for a self-paced program with requirements that must be turned in by the due dates to successfully complete the program. This FREE training includes 2 one on one sessions, daily emails to inspire you, membership to the Earn Your Wings Facebook group and 40% discount on the intensive Earn Your Wings Coaching 6 Month Program for Survivors wanting to start their own advocacy brand.
Should be Empty:

Free 30 Day Introduction to Earn Your Wings Coaching Program Registration Form

Student Information