Coaching Session Registration

[contact-form][contact-field label=’Coaching Package Number’ type=’text’ required=’1’/][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Nickname’ type=’text’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Home Address’ type=’text’ required=’1’/][contact-field label=’Phone Number’ type=’text’ required=’1’/][contact-field label=’Emergency Contact Name’ type=’text’ required=’1’/][contact-field label=’Emergency Contact Phone’ type=’text’ required=’1’/][/contact-form]

Please submit your information using the form above first, then secure your spot by purchasing with PayPal below.

Package #1: $145





Package #2: $250





Package #3: $525