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Full Name

Email *

Phone *

Sell Products *

1:1 Coaching Call

$150

Child Name and Age (can list multiple if coaching for multiple) *

Describe your child. (Include diagnosis or health concerns if applicable.) *

Tell me something that motivates/interests your child. *

What's your favorite thing about your child? *

What are your child's biggest challenges? *

What is the top thing you want to get out of coaching? *

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