Schedule Appointment with Empowered Parents Empowering Daughters

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Last Name *

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Your E-Mail Address *

Notes to Business (your address or any special notes about your order)

Item	Quantity	Total
Mini "PowerBoost" Package		$97.00
Total: $97.00	Coupon:

I agree to:

Sign and return the "Coaching Agreement Form" (this form will be available to you once payment has been confirmed)
Complete the "Intake Form" (this form will be available to you once payment has been confirmed)
Show up to the scheduled appointment(s) via the "Zoom" link (download app if needed) at the scheduled time
Ask any relevant questions prior to my first session so that I understand the coaching process and what is required of me. I can ask my questions via email at ParentCoachAngie@gmail.com.