Dynamik Transformations Teen Coaching Application

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This coaching program is designed for teens who want to grow in confidence, identity, leadership, emotional health, and purpose. Coaching is a partnership where you’ll be encouraged to think, reflect, and develop practical tools for your future.

Teen’s Full Name *

Age *

Grade *

School (optional)

Teen email (if applicable)

Parent / Guardian Name *

Parent / Guardian Email *

Parent / Guardian Phone Number *

Best way to contact parent/guardian *

Phone

Text

Why do you want coaching right now? *

Which areas would you like help with? (Select up to 3) *

Confidence / Self-Esteem

Identity & Purpose

Leadership Skills

Emotional Regulation

Communication

Decision-Making

Faith / Values

School / Life Transitions

Required

What do you feel you’re struggling with the most right now? *

On a scale of 1–10, how open are you to learning and growing? *

Are you willing to be honest, reflect on yourself, and try new ways of thinking or acting? *

Yes

Sometimes

Not Sure

What would you like to feel more confident or proud about by the end of coaching? *

Do you feel supported by at least one adult in your life? *

Yes

Sometimes

Not really

Is there anything important your coach should know to support you well? *

PARENT / GUARDIAN ACKNOWLEDGMENT *

I understand coaching is not therapy and does not replace counseling.

I support my teen’s participation and growth in this program.

I understand consistency and encouragement at home are important.

Required

Parent / Guardian Signature (Type Full Name) *

Date *

YYYY

Submit

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