Life Coaching for Kids Registration
Hello, and congrats on taking the first step in getting help on your child's mindset journey!

As a certified Adventures in Wisdom Coach, I will use stories to empower children through mindset development! I look forward to helping your child see the power of their thoughts to create confidence, happiness, and success in their lives.

Please complete this New Student Registration Form before your complimentary 30-minute Discovery call. It is helpful to gather this information in advance so that I can get to know you and your student a bit more before we connect. This helps us make the most of our time.

Once I receive the answers on this form, I will reach out to you about a time to schedule the Discovery call. I look forward to working with you!

Sincerely,
Janay Neufeld, M.A. Ed
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Your Name *
Email *
Child's Name
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Child's Birthday/Age
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Mailing Address
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What time zone are you in?
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Best way to contact you?
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What days are best for coaching each week? *
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What time is best for coaching each week for your child?
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1. What is motivating you to seek coaching for your child? (i.e. Do you have concerns about your child? Are there issues/challenges your child is dealing with?) *
2. What impact is this having on your child?
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3. What impact is this having on you?  What impact is it having on your family?
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4. If you have attempted to address this issue in the past, what was tried and what were the results? *
5. What are three to five outcomes you would like to see as a result of me working with your child? 
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6. When these outcomes are achieved, how do you envision it will impact your child?
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7. When these outcomes are achieved, how do you envision it will impact your family?
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8. Is there anything else I should know about working with your child? *
Committing to the WISDOM coaching program is a big commitment for everyone involved. At My Online Reading Tutor, we believe that every child can learn and that every child can be successful. The key to success is commitment and consistency. Are you ready and able to make a commitment of your time and resources to get the results you desire for your child? *
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At My Online Reading Tutor we believe in high quality coaching. To us this means we provide a wealth of value for the investment that you are making. Right now I...
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How did you hear about us? *
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