Group Coaching Class Registration form

NAME

FIRST & LAST

EMAIL

DATE OF BIRTH

DOB

Phone Number

Format: (000) 000-0000.

WHAT PAST STRUGGLES HAVE SHAPED YOU TREMENDOUSLY?

WHAT PERSONAL STRUGGLES ARE YOU CURRENTLY FACING?

WHAT WOULD YOU LIKE TO GAIN FROM THIS CLASS?

WHAT DO YOU SEE FOR YOURSELF 6-12 MONTHS FROM NOW?

ARE YOU WILLING TO COMMIT TO YOURSELF TO EXPAND BEYOND YOUR COMFORT ZONE. INTO YOUR GOLD ZONE?

choose the day and times that work best for you consistently

TERMS & CONDITIONS OF SERVICE AGREEMENT

THE RECLAIM YOUR GOLD PIECE CLASS IS A SERVICE OFFERED BY THE PEACE YOUR PUZZLE COACHING ACADEMY CREATED BY amona Adams .

BY SIGNING THIS AGREEMENT YOU ARE PURCHASING THE SERVICES OF THE PECE YOUR PUZZLE COACHING ACADEMY.

YOU AGREE TO PAY THE PRICE OF EACH CLASS WEATHER YOU ATTEND OR NOT. (INDIVIDUAL SESSIONS CAN BE SUBSTITUED FOR MISSING CLASS ONLY 1 TIME.)

YOU AGREE TO RECIEVE COACHING SUPPORT FROM AMONA adams WHO IS A CERTIFIED life COACH, A SELF-ACCEPTANCE ADVOCATE.

YOU AGREE TO OFFER HONEST REVIEWS AND FEEDBACK BASED ON YOUR EXPERIENCE AND EXPECTATIONS.

YOU UNDERSTAND THAT THIS SUPPORT SHOULD NOT REPLACE THE USE OF A THERAPIST OR OTHER LICENSED PROFESSIONALS.

Group class session

$135.00 Quantity

Total

Debit or Credit Card

Choose from one of the PayPal options to make your payment.