SOS Mental Performance Virtual Sessions Sign-Up

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SOS Mental Performance Virtual Sessions Sign-Up

1
Image Field
2
Your Full Name* This field is required.
First Name
Last Name
3
Age
Please Select
Please Select
10-13 years old
14-18 years old
20-25 years old
36 plus years old
4
Session Date* This field is required.
September 27, 2026
October 25, 2026
November 29, 2026
December 27, 2026
January 25, 2027
February 28, 2027
March 28, 2027
April 25, 2027
May 30, 2027
June 27, 2027
July 25, 2027
August 29, 2027
September 26, 2027
5
Your Email Address* This field is required.
example@example.com
6
Session Payment* This field is required.
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My Bag
2
My Bag
Great Product Name
$20
Quantity:1
Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costUSD
SOS Mental Performance Virtual Session
One 30-minute virtual session on the last Sunday of the selected month(s), 6:30-7pm EST.
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September 27, 2026
September 27, 2026
October 25, 2026
November 29, 2026
December 27, 2026
January 25, 2027
February 28, 2027
March 28, 2027
April 25, 2027
May 30, 2027
June 27, 2027
July 25, 2027
August 29, 2027
September 26, 2027
Session Date(s)
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3
4
5
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7
8
9
10
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12
Quantity
Subtotal:
SOS Mental Performance Virtual Session 2
All 12 sessions
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September 27, 2026
September 27, 2026
October 25, 2026
November 29, 2026
December 27, 2026
January 25, 2027
February 28, 2027
March 28, 2027
April 25, 2027
May 30, 2027
June 27, 2027
July 25, 2027
August 29, 2027
September 26, 2027
Session Date(s)
Subtotal:
Enter Coupon
Total cost
Payment Methods
Credit Card
First Name
Last Name
Cash App
After submitting the form, you will be redirected to the Cash App Pay to complete the payment process.
Google Pay
After submitting the form, you will be redirected to the Google Pay to complete the payment process.
Apple Pay
After submitting the form, you will be redirected to the Apple Pay to complete the payment.
ACH Bank Transfer
Account Holder Name
Should be Empty:

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