Registration Your First Name *Your Last NamePhoneEmail AddressAre you Married?YesNoSpouse NameCan you briefly describe what you are looking for?0 / 150Preferred way to attend:In PersonZoomCombinedWould you like to Sign up for our monthly newsletter to keep up with upcoming events?Yes! Sign me up! No thank youConsentBy checking the boxes blow you are agreeing to our Informed Consent and Certified Coaching Agreement.Please open and read our agreement below *By clicking Yes, it means that you agree with the Informed Consent and Certified Coaching AgreementNo Show Policy *Yes, I understand The No Show policy - If I am over 15 minutes late to a one on one appointment, it is $250.00 paid before the next meeting is booked. Confidentiality *Yes, I understand that failure to comply with our confidentiality expectations will result in immediate removal from the groups, and content, with no refunds. Exception to Consent *Yes, I agree with the exceptions to confidentiality - Commission to Every Nation's Certified Life Coach Practitioners, agents, or volunteers work as a team. Your Life Coach practitioner may consult with other staff to provide the best possible care. They are for professional, and training purposes, and your personal information will not be shared.Danger Consent *Yes, I agree with the exceptions to confidentiality - If there is evidence of clear and imminent danger of harm to self and/or others, a Certified Life Coach Practitioner is legally required by law to report this information to the authorities responsible for ensuring safety.Minor Consent *Yes, I agree with the exceptions to confidentiality - Certified Life Coach Practitioners who learn of, or strongly suspect, physical or sexual abuse or neglect of any person under the age of 18 is required by law to report this information to Child Protective Services. Submit