Become a Mental Healthcare Technician, LifeCoach Certification Class Form
Class Registration Open 2025/2026
Attendee Information
Please fill name and contact information of attendees.
Please Select Which Certification You Want To Obtain
Please Select
Certified Life Purpose Coach (New Business)
Mental Health Technician
Mental Health Coordinator
Publishing Author
All Certifications Are Registered Through Pretty Talk Organization Before Issuing
Your Name
Mr.
Mrs.
Miss.
Prefix
First Name
Last Name
Email Address
example@example.com
Contact Number
Please enter a valid phone number.
Will you have a guest with you?
Yes
No
Guest Name
Mr.
Mrs.
Miss.
Prefix
First Name
Last Name
Email Address
example@example.com
Contact Number
Please enter a valid phone number.
Are you currently looking to receive job placement as well?
Yes
No
File Upload
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Browse Files
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Please Upload A Copy Of Your Identification Card Along With A Copy Of Your Current Resume.
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Choose A Date That’s Convenient
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Month
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Day
Year
Date
Select Which Invoice You Want To Pay Upon Submitting This Form
*
Please Select
Deposit $50 (Secure Appointment)
Pay In Full $150 (No Remaining Balance Due)
You’ll be sent a email upon submission to pay invoice.
Signature
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