ENROLL IN A WORKSHOP / REQUEST A LIFE COACH

YOUTH INFORMATION
* FULL NAME:
* EMAIL ADDRESS:
* PHONE NUMBER:
CITY OF RESIDENCE:
* DATE OF BIRTH:
PARENT INFORMATION
* PARENT NAME(S):
* EMAIL ADDRESS:
* PHONE NUMBER:
  * REQUIRED FIELDS
WORKSHOPS
Email me instructions for enrolling in the following workshop(s) and notify me of upcoming workshop dates in my city:
FIND YOUR PACE WORKSHOP
STRESS ESCAPE WORKSHOP
TIME REVOLUTION WORKSHOP
ULTIMATE CONNECTIONS WORKSHOP
LIFE COACHING
Would you like to schedule a complimentary Life Coaching Discovery Session at which time we can also discuss pricing?
YES, PLEASE CONTACT ME.
5% of all revenue is utilized to offer discounted workshops and life coaching services to youth of lower income families.

IMPORTANT: Children who are 12 years old and younger must not submit personal information via this website.