College Coaching
Student Registration Form

Student's Name *

First Name

Last Name

Student's Phone *

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Parent's Name *

First Name

Last Name

Parent's Phone *

(###)

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Program Deposit and Attendance Policy *

A $175 program deposit is required upon enrollment in the College Coaching Program. This deposit will be fully refunded upon successful completion of all coaching sessions and program requirements. Please note the following policies regarding attendance: - Session Attendance: Missing two sessions, whether group or one-on-one, will result in the forfeiture of your seat in the program, and the program deposit will not be refunded. Cancellation Policy: In the event of an emergency, one-on-one sessions must be canceled with at least 24 hours' notice to avoid forfeiting the deposit. - Cancellations made with less than 24 hours' notice will result in a missed session. All missed sessions must be rescheduled within 7 days of cancellation. - Parent Attendance: Parents are required to attend the family virtual session as part of the program requirements. Parent/Guardian, please select the box that best fits your option:

I consent to these terms.

I do not consent to these terms.

Photo & Video Waiver *

I, the undersigned, give permission for my child’s image and/or name to be used in photographs, videos, or promotional materials related to the College Coaching Program. I understand that these materials may be shared on social media, websites, and other public platforms to highlight the program’s impact. Please select the option that best fits your preference:

I consent to my child’s image and/or name being used in promotional materials, including social media and websites.

I do not consent to my child’s image and/or name being used in promotional materials. ☐ I consent to my child’s image and/or name being used, but only in specific internal materials (not on social media or websites).