Registration Form For Coaching Program "*" indicates required fields Name of Organization* Name of Contact Person* Email Address* Phone Number*Billing Address* Street Address Please let us know your goals and how you want us to be of help.* Payment Method*SelectACHCheckConsent YesI understand that: • Cost varies. Please be prepared to receive a call or email. • Payment can be done via check or ACH. • Additional expenses for any travel outside of NYC will be shouldered by the client. • A contract will be provided and the organization need to honor the clauses of the contact and comply accordingly.NameThis field is for validation purposes and should be left unchanged.