Enrollment Form

Enrollment Agreement

60-90 Minute Private Coaching

Relationship Confidant 60/90 Minute Coaching is designed to assist in resolving or evaluating a specific issue as requested.  In 60/ 90 minutes, I work with you to create a basis for change with respects to your relationship query and I utilize a method I call “Heart-Centered Radical Honesty”. Due to the limited time, the outcome may result in merely just thought provoking ideas and enlightenment.” Making a shift in a new or different direction”

(Please Cut and Paste the information below into an email sent to JA@understandmennow.com along with which coaching session you desire)

Personal Information

Name/Email ______________________________________________

Current City_______________________________________________

Daytime Phone ___________________Evening Phone_____________

Age_________ Relationship Status__________ Profession__________

Children______ Want Children______ Religion__________________

 

About Your Life and Your Relationship Goals

1. Please describe your ideal partner or a current relationship

 

2. Describe your specific relationship question to be discussed

 

3. What is your desired outcome working with a relationship coach?

 

4. What changes do you believe you need to make to improve your relationship goals?

 

Fees & Payment Options

60 minutes       Coaching Fee:  $200 Members Discount ($30)     Total Cost $170

90 minutes       Coaching Fee:  $300 Members Discount ($45)     Total Cost $255

20-25  minutes       Emergency Session                                             Total Cost $ 97

** Become an Member to receive discounts on coaching fees

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Looking forward to helping you achieve your desired growth as your Relationship Confidant.

To reserve your appointment a $97* scheduling commitment fee is required (balance to be invoiced prior to session)

 * Please note that the reservation fee also serves as payment for my 20-25 Minute Emergency Phone Session

Coaching services are designed to be intellectually and conversationally stimulating, and for enlightenment purposes only. It is not intended to replace the advice and care of your physician, nor is it intended to be used for mental or medical diagnosis & treatment.  Jonathon Aslay makes no guarantees or represents he will find you a match or resolve your relationship issue; and his services are merely designed to help you make a shift in the right direction.  Agreement to these conditions are required as acceptance of fees for services.