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Application - Coach Leadership: Coaching Skills Essentials
*Space is Limited*

Course Fee: $1,800, Register by October 1st and receive a $200 discount!
*Payment may be issued via check or credit card; registrants will be contacted after submitting this form to arrange payment*

Referral Bonus: Receive $100 off course fees for each successful referral! Please ensure that your referrals note you as their source to receive this credit.

Registration Deadline: Friday, October 13th

Items to note:

Please ensure that you have availability to attend/participate in all the sessions on the dates noted. If you have any concerns about the dates mentioned, please contact We will do our best to accommodate any conflicts.

Breakfast and lunch will be provided on the Full Day Kickoff Session, and breakfast will be provided on the two half-day sessions. If you have any dietary restrictions, please note them in the field below

Email address
Name (First and Last)
Your answer
What is your current role, and at what organization/company?
Your answer
What is most important for us to know about you?
Your answer
What will be the effect of your applying your advanced coaching skills to your work with your team or organization? Be detailed!
Your answer
How did you hear about this program? If you were referred by a specific person, please note who in this field. Registrants receive $100 off course fees for each successful referral!
Your answer
How would you like to pay for registration? An invoice--detailing early bird discounts and referral credits, if applicable--will be sent to you once registration closes.
Please enter any participant or discount codes here (separate entries with commas)
Your answer
Any questions or concerns? If you have any dietary restrictions, please note them here
Your answer
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