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Coaching Registration
Confidence Coaching – Registration
TRUHockey Development: Confidence & Leadership Program Registration
Participant Information
Participant Name
(Required)
First
Last
Date of Birth
(Required)
Parent / Guardian (Payee) Name (if under 18)
First
Last
Phone
(Required)
Email
(Required)
Billing Address
(Required)
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
What age group is the participant currently in?
10-12
13-15
16-18
19+
What areas of confidence or leadership are you hoping to improve the most? (Select Top 1 or 2)
Self-Confidence & Positive Self-Talk
Leadership & Communication Skills
Growth Mindset & Resilience
Managing Stress & Emotions
Decision-Making & Problem Solving
Teamwork & Collaboration
Would you like to be added to our email list to stay up to date on the latest programs?
Yes
No
Coaching Package
Please select package
(Required)
1 Tune-Up Call ($100 + GST/PST)
3 Sessions ($270 + GST/PST)
GST + PST (11%)
(Required)
Price:
$ 0.00 CAD
Total
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