Create Your Firebed Course Registration
Khalil TX True in partnership with The Mocha Girls Show, Kamp Khalil, Inc, and Spark Digital Media is offering a five-week virtual course teaching entrepreneurs age 14 and up everything they need to know to become successful business owners. Visit for more information.
Email address *
First Name *
Last Name *
Cell Phone # *
Age *
What do you hope to gain from this course? *
Do you currently have a business? *
If so, please provide business name, social media tag, and website
Which time frames are you available to attend the course? (select all that apply) *
I understand that I will have to pay the $50 deposit once the registration form is submitted. *
Would you like to refer a friend to take the course with you? *
If 'Yes' please input their full name
If 'Yes' please input their email address
Never submit passwords through Google Forms.
This form was created inside of Report Abuse