MSMBC™ Virtual Info Session Registration Form

MSMBC™ Virtual Info Session Registration Form

Please fill in the form below
For Parents and Educators

Struggling with power battles at home or in class? Learn Proven Strategies to Build Resilience, Responsibility, and Emotional Strength—Without Power Struggles.
Yes, I am 18 or older.No, but I have an adult over 18 who is registering and accompanying me.No, I am not 18 or older.
Full Name*

First NameLast Name
Address*

Street Address (optional)

Street Address Line 2 (optional)

CityState / Province

Postal / Zip CodeCountry
Phone Number*
Format: (000) 000-0000.
E-mail*
example@example.com
Name of Organization you represent and or Occupation. *
🧑‍👩‍👧 Parent, Guardian, or Grandparent of a student🎓 Leader or Administrator at a College or UniversityAthletic Director / Coach at a College or University🏫 Leader or Administrator at a High School or Middle SchoolAthletic Director / Coach at a High School or Middle School👩‍💼 College Student or Young Professional (Ages 18–25)Other
I’m looking for tools to help a student navigate personal or academic challengesI want to bring innovative wellness and leadership experiences to my school or organizationI’ve heard about the MINDstyle MAKEOVER BOOT CAMP™ and want to learn more.I’m exploring resources for young adults transitioning into adulthoodI’m curious about your unique approach to leadership and well-beingAll of the above.None of the above.
A clearer understanding of how the MINDstyle MAKEOVER METHOD™ can support studentsPractical tools to help improve mental/emotional health in my family or schoolInsight on how to bring this program to my school, district, or communityStrategies to better support young adults I lead, parent, or servePersonal growth and wellness strategies for myself or someone I care aboutAll of the above.Other
Helping a student build confidence and resilienceManaging stress, burnout, or mental health concerns in students or staffBridging the gap between leadership and student engagementCreating a safer, more emotionally supportive learning environmentPreparing young adults for life beyond high school or collegeAll of the above.Other
Here are upcoming scheduled sessions date and time you can attend below:

Each live (virtual) session is identical and occur every Tuesday and Thursday at 4 pm Central (Which is 5 pm EST and 2 pm PST). There will be NO live virtual sessions the week of Thanksgiving on Tuesday, November 25th and 27th; nor the week of Christmas on Tuesday, December 23rd or Thursday, December 25th.
Yes, I understand.
You're choosing to attend this virtual info session and providing your email address, provides Legacy Impact Co. the opportunity to engage with you regarding upcoming product launches and events similar to this online event. That being said, know that you can unsubscribe anytime. For more details, review our Privacy Policy here: https://docs.google.com/document/d/1Oj5ggBzk9E5FkdocJ39NNkOs8ey8-bzc/edit?usp=sharing&ouid=117984254900635170898&rtpof=true&sd=true . If you're in agreement with receiving marketing from Legacy Impact Co. please select 'Yes, I understand', below to move forward in accessing the Virtual Info Session.*

Yes, I understand.
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MSMBC™ Virtual Info Session Registration Form

For Parents and Educators

Here are upcoming scheduled sessions date and time you can attend below: