1on1 Nutrition/Trim Healthy Mama Coaching
with certified Coach Amy Gaskin
I am currently enrolling for my May/June 2024 session. Do you understand?
*
Name
*
First Name
Last Name
Age
*
State & Time Zone
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
You will schedule a free 15 minute discovery call after submitting this form. If we are a good fit, a $100 non-refundable deposit is required to hold your spot for the next session. The deposit will be applied towards your coaching fee. Do you agree?
*
Which Level are you interested in?
*
If you have ever completed my Buds Group Coaching Program, which session was it?
*
What are your goals?
*
What led you to seek out a coach?
*
Are you willing to learn, take my suggestions and possibly change habits to reach your goals?
*
I require that my 1on1 clients use the Ate App with may cost up to $59/ year. *sometimes specials are available. Do you understand?
*
What do you need help with the most?
*
How did you find me and/or did anyone recommend me to you?
*
After this form has been submitted, you will be redirected to book a •required• free 15 minute discovery video call with me to be sure we are a good fit. In addition, an email with the booking feature and confirmation of this form will be sent from this email address: noreply@jotform.com as a back-up. Please check spam/junk. Do you agree?
*
Signature
*
Submit
Should be Empty: