Please complete the form below to enroll:

Name *
Name
Please review and check the box if you agree. *
1) I will call my coach on the number in my meeting notice on time weekly. 2) I understand that cancellations and no-shows will not be made up and are considered a used session. 3) I will limit the amount of reschedules I have to accommodate my mentor's busy schedule. 4) I will make up any rescheduled session in the same month it was moved, or it will be a used session. 5) I will take all my own notes and follow up on my actions. 6) I will take the advice of my mentor. 7) If at anytime I wish to stop my program I will notify my mentor prior to my next month's automatic billing charge. 8) I agree to pay monthly and understand I can cancel at any time. 9) I understand the cost of the program I am enrolling for is $80 per month.
If so please type their name below. We will make every effort to match you with your mentor of choice.