Elevate & Empower: Business Coaching Sign-Up Form

Elevate & Empower: Business Coaching Sign-Up Form

"Your success is inevitable. You have the power within yourself to build and create the business and life you desire!"
Mission Statement:

At Kay West Productions Coaching, our mission is to advocate for small business owners and entrepreneurs by empowering them to take control of their journey toward success. We focus on fostering accountability, self-growth, and confidence, guiding clients to unlock their true potential. Through personalized coaching, strategic marketing, and mindset development, we show that self-confidence is the key to overcoming challenges and achieving lasting success.
Tell Me About You:
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Business Information Details

Add your business details in this section to better understand your industry and what you require support with.
Business Name:
Business Industry/ Niche:
Be clear & Specific
Business Phone Number
Please enter a valid phone number.
Business Email Address
example@example.com
Current Business Stage:

Start up (0-6 months)Growing (6 months- 2yrs)Established (2+ yrs)
Is your business any of the following?

LLCSole ProprietorshipNonProfit 501c3Considering the above/ interested and want more info.None of the above
Specify Social Media Handle(s):
Include your current social media handles that you currently use to promote your business.
Your Vision & Goals:

Please be as thorough and realistic in this section. Being truthful will only benefit you and your business.
What areas do you need support in? (Multiple Choice)

Branding & MarketingSocial Media GrowthEffective Marketing StrategiesNetworking & Community BuildingSales & Client Attraction StrategiesTime Management & Productivity for EntrepreneursBasic Business Financials & ResourcesSelf Confidence & Mindset Coaching
What is your biggest CHALLENGE RIGHT NOW?
Lets focus on your priority.
What is your desired income/ business goal in the next 6-12 months?
How do you want to feel in your business journey?
Express yourself.
Coaching Preferences:
Preferred Coaching Style:

1-on-1 CoachingGroup Coaching Sessions (Virtual)Virtual 1-on-1 Coaching
How soon do you want start?

Immediately (within 24hrs)Within the next 72hrsWithin the next 7 days
Payment & Scheduling:
Coaching Package Interest:
"Ready to take your business to the next level? Let's schedule a discovery call to explore how I can help you achieve your goals."

Yes, I am ready to elevate & move to the next level.Not at this time, thank you.
Kay West Productions Coaching prefers payments made via Zelle or Venmo. Clients should use one of these payment methods to secure their coaching package.

ZelleVenmoOther
Additional Comments
Disclosure:

Kay West Productions Coaching provides business coaching services designed to offer guidance, strategies, and mindset support. The success of the coaching services depends on the individual's commitment and efforts. Kay West Productions Coaching does not guarantee specific results or outcomes, as results will vary based on the client's application of the strategies provided. By signing up for coaching services, clients acknowledge that they are fully responsible for their actions, decisions, and results. Kay West Productions Coaching, its owner, and affiliates are not liable for any business outcomes or personal decisions made during or after the coaching process.

All payments for coaching services are non-refundable and non-transferable to other services. This sign-up form shall serve as an agreement between Kay West Productions Coaching (operating as an independent contractor) and the client, should they be approved as a client. By signing up, clients agree to the terms and conditions outlined in this form.

Coaching services provided by Kay West Productions Coaching are for business guidance and mindset development and are not intended to be a substitute for professional, financial, or legal advice. Clients are encouraged to seek the appropriate professionals for any legal, financial, or medical issues.

By submitting an electronic signature, clients acknowledge and agree to all terms outlined in this form. The electronic signature shall serve as an agreement between Kay West Productions Coaching and the client.
Name

First NameLast Name
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Elevate & Empower: Business Coaching Sign-Up Form

Tell Me About You:

Business Information Details

Your Vision & Goals:

Coaching Preferences:

Payment & Scheduling: