Client profile

Client information and session content will remain confidential (*)

* Indicates required field

Name / Nombre *

First

Last

Email *

Phone Number / Telefono *

Address / Direccion *

Line 1

Line 2

City

State

Zip Code

Country

Mobile phone / Telefono mobil: *

Ocupation - Ocupacion: *

What will be better as a result of coaching? / Hacia que meta nos dirigiremos en las sesiones de coaching? *

I agree to the following scheduling items / Me comprometo a lo siguiente: *

If I am late for an appointment, my session will be shortened/ Si llego tarde a una sesion, la sesion se acortara como resultado. I will re-schedule any appointments 48 hours in advance, or forfeit the appointment and pay the fee. / Avisare cualquier cancelacion con 48 horas de antelacion para un reemboloso completo. All recommendations and comments are the opinion of your coach. Various factors may influence or factor into your individual results. All clients are advised to conduct their own independent research before making a decision. Accordingly, your coach will not be liable, whether in contract, tort (including negligence) or otherwise, in respect of any damage, expense or other loss you may suffer arising as a result of your sessions or any reliance you may place upon such sessions. I have read and understood the Privacy Policy (*) and the Payment Policy (**).

Submit

(*) Privacy Policy

(**) Payment Policy

Client profile

Client information and session content will remain confidential (*)

Home

shop

about

contact

Client profile

Client information and session content will remain confidential (*)

Home​

shop

about

contact

Home