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Apply today to start your new journey with the focused care and guidance of a Life Coach. Upon submitting your application, a life coach will contact you within 24 hours.

Privacy Policy

Your privacy and discretion is our top priority. Please review our privacy policy for more details on how we keep your information safe.

WC4S Client Application


Please complete the following form and respond appropriately to be considered as a client for our program. This initial screening application will take approximately 5-10 minutes to complete

I am 18 years of age or older, English speaking, live in the USA or Canada

Household Details

Select your program of interest

1.) Tell us a little about yourself and your current situation 

2.) What do you hope to accomplish by working with a coach at this time? 

3.) Why do you think you would be a good candidate for this coaching program?

Whats your preferred coaching schedule? Please provide 3 options (Day and Time)

Program Requirements

Select your program of interest

Complete payment

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