Group Coaching Workshop Registration Form

First name

Last name

Birthday

Day

Month

Year

Email

Phone

What made you want to join this session?

Where are you right now in your journey?

I have many ideas but can’t decide where to start

I feel stuck and unsure what direction to take

I’m considering a new phase or change in my life

Which of these best describes your current focus?

I want to start something new but I’m not sure what

I want to reconnect with what inspires me

I need clarity before making a life or career decision

I’m exploring self-development in general

This session is limited to a small group of women and requires active participation. How comfortable are you sharing reflections and experiences in a small, safe group setting?

Very comfortable

Somewhat comfortable

Please confirm: (Checkboxes — all required)

I understand this is a coaching-based reflection session, not therapy or training.

I commit to attending the full 90 minutes and keeping my camera on during the session.

I’ve read and agree to the Coaching Agreement

I consent to participate in this coaching session and allow my anonymized data to be used for ICF credentialing logs, in line with the Coaching Agreement.

Subscribe me to your newsletter (Optional)