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Beyond The Break Institute| Enrollment 

Congratulations on taking this step.

This enrollment form allows us to gather the necessary information to prepare for your participation in the Beyond the Break Institute. Please complete all required fields carefully.

Enrollment is not complete until this form has been submitted.

Personal Information

Background & Experience

What best describes your current position?

Dropdown

Have you previously worked with a coach or mentor?

Single choice
Yes
No

Briefly describe your current area of focus or calling

Intent & Expectation

Why are you enrolling in The Beyond The Break Institute?

What do you hope to gain from this certification?

Commitment

This is a 8-week certification program requiring application, participation, and consistency. Are you prepared to commit to this process?

Single choice
Yes
No

On a scale of 1-10 how ready are you to invest in your growth and development on this level?

Agreement

(Please read each agreement carefully and check each box)

This program is designed for educational and coaching purposes only and does not serve as licensed clinical therapy or medical treatment.

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After Payment is complete please check email for final confirmation

Payment

8 Week Coaching Certification
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