Parent Name *

First Name

Last Name

Phone

(###)

###

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Student Name *

First Name

Last Name

I understand *

Coaching is not therapy, counseling, or psychiatry

Coaching is a process and requires time in order to see results

Coaching requires the student to be coachable (wanting and willing to change)

Coaching is collaborative where the coach and the student are partners

Coaching requires a close relationship between you (the parent) and the coach

Coaching may lead to increased independence, academic success, and other life-changing results!