Private Group Coaching Request Form (with Videos)
Must be a parent, 18 years old or older to complete this form.

The purpose of this form is to begin the scheduling process for your Group Coaching Classes.
If you have questions, please view the videos below.  If they do not answer your questions or if you need help completing the form, contact us at admin@TSEDacademy.com.

Gather your own group of friends and family to join your group.
(If you cannot gather your own group, Join Dr. Simone's waitlist of kids who also need a group)

Please answer the questions below to move forward with scheduling your group coaching sessions.

PLEASE SUBMIT ONLY ONE FORM FOR YOUR GROUP.

Dr. Simone or a team member will contact you shortly.

If you have any questions, please don’t hesitate to contact us. We can be reached at:
admin@TSEDacademy.com

To return to the main page in the academy, click or copy this link:  https://rb.gy/r9ydnx
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Email *
Main Group Contact (Adult's First & Last Name) *
Main Group Contact's Phone Number *
What is your relationship to the student(s) *
Group coaching is an ONLINE SERVICE offered internationally.  In rare cases, depending on session dates, location, & number of students, Dr. Simone can occasionally consider an in person visit (which is subject to additional in-person fees as well as materials, meals & all travel fees) *
Group 1 Topics Explained (Press Play to watch Video) After watching, scroll down to indicate which group you'd like your group to be enrolled in.
Group 2 Topics Explained (Press Play to watch Video) After watching, scroll down to indicate which group you'd like your group to be enrolled in.
Group 3 Topics Explained (Press Play to watch Video) After watching, scroll down to indicate which group you'd like your group to be enrolled in.
Which Group content are you interested in? *
Are you able to gather kids to make your own group? If so, how many? (you need a minimum of 5 - maximum of 7) *
If you are NOT able to gather your own group, we will add you to a list with other students -who also have no group and are interested in the same coaching topics as you.   (Please note that wait times for us to hear from enough students to create a group can be extensive, several months or more. To begin group coaching faster, please consider gathering your own group.) Check "yes" below if you'd like to be added to this group waitlist. *
Do you have preferred dates and times in mind for all for of your group coaching sessions? *
Required
If you answered yes above, please list all 4 of your preferred dates and times for your 4 group coaching sessions. (Dates are not guaranteed. All 4 dates must be within a 30-day timeframe).
Would you like us to send you a flyer/invitation to share with classmates, friends and family to join your group? *
1️⃣I understand that TSED Academy team will use this information to the BEST of their ability to schedule the group coaching classes for me and/or my group. 2️⃣ I also understand that my group may not get the first date choice we request. 3️⃣ Finally, I understand that if I do not have a group, I may have to wait extended periods of time for other students to join the waitlist to create a full class. *
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