Coaching Registration

Create Your Coaching Account

Set up your secure login to access your coaching portal — schedule sessions, track your progress, and connect with resources between calls.

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Name *

First

Last

Email *

(multi-select) like Day

Preferred Contact Method

• Email
• Phone
• Either

What area would you most like to focus on? (multi-select)

• Emotional Mastery & Stress Management
• Decision-Making & Self-Confidence
• Life Transitions & Purpose
• Health & Wellness Goals
• Other

Preferred Session FormatVideoAudioNo preference

Best Day for Session

• Tuesday
• Wednesday
• Thursday
• Saturday

Best Time of Day

• Morning
• Afternoon
• Evening

Coaching Agreements *

• I understand these are complimentary coaching sessions provided as part of Dr. Val’s ICF certification training
• I commit to attending both scheduled sessions
• I agree that all session information is confidential

GDPR Agreement *

• I consent to having this website store my submitted information so they can respond to my inquiry.

Submit & Reserve My Spot

Already Registered?