Student Intake form

First Name

Last Name

Phone *

Email *

Date of birth

City

State

What's your business name?

What is currently holding your business back?

Will you be prepared to take notes and implement what is discussed?

I understand this is a paid strategy call, not a free coaching session I agree to show up on time and distraction-free

I understand no-shows are non-refundable

I understand repeated no-shows may result in being blocked from future bookings

I agree to attend from a computer if possible

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.

By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.

Signature

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