The Coaching Academy – 3 Sessions Beginning Oct. 4 – 6, 2024, Riverside, CA

Registration

(Hidden) Event Title *

(Hidden) Event ID *

(Hidden) Event URL *

(Hidden) Training Course ID *

First Name *

Preferred First Name

Last Name *

Phone *

Email Address *

Street Address *

City *

State *

Zip Code *

Country *

Spouse

First Name *

Preferred First Name

Last Name *

Phone *

Email *

Birth Date *

Fusion Questions

(You): What is a recurring thought, feeling or behavior in your marriage that you would like to see change? *

(You): What other way would you like to see your relationship with your spouse transformed? *

(You): What do you want for your future together with your spouse? *

(Spouse): What is a recurring thought, feeling or behavior in your marriage that you would like to see change? *

(Spouse): What other way would you like to see your relationship with your spouse transformed? *

(Spouse): What do you want for your future together with your spouse? *

What would you and your spouse prefer in your gift basket? *

Is there anything that would prevent you and your spouse from attending this training? *

Who told you about the training?

Parent Contact

First Name *

Last Name *

Phone

Questions

Person Who Told You About the Training *

What’s a recurring thought, feeling or behavior that you would like to change? *

What relationship in your life do you most want to transform? *

What do you want for your future? *

Is there anything that would prevent you from attending this training? *

Payment Arrangement

YesNo

I already have prior arrangements made with the Training Sponsor regarding payment.

Payment *

The amount to pay today via PayPal

Please Verify *