STAR Membership Application
We are using this form to learn if this opportunity is a fit for you and for us.

π—₯π—˜π—€π—¨π—œπ—₯π—˜π— π—˜π—‘π—§: Β 1 standard appointment for six consecutive months. Β If you'd like more appointments each month, no problem! Β While you are a member, each standard appointment is just $50. Β Note: Β Membership appointments are for you and cannot be transferred. Β If an appointment is missed, it will be forfeited.

π—£π—”π—¬π— π—˜π—‘π—§: Β The first charge will be processed on the day of your first appointment. Β From that point forward, an automatic payment of $50 will be charged on the 1st of each month unless other agreements are made. Β If additional appointments are scheduled within the month, each appointment will be processed on the day of the appointment.Β Β After six consecutive months, you may schedule your next appointment and continue your membership or cancel your membership via the scheduling system.

𝗕𝗒𝗑𝗨𝗦: Join the "Tune In Group" (in my personal online classroom) and have continued connection, tools and community support during your membership.


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Name *
Email *
Street Address *
City *
State *
Zip Code *
Phone number *
When is the best time to call? Β | Note your time zone. *
What describes you? *
Required
Expand on what you are looking for ... *
How much time are you willing to set aside to reach the outcome you desire? *
Required
What would stop you from fully committing to achieving your outcome? *
The way I learn best is ... *
Required
Do you agree with the following π—₯π—˜π—€π—¨π—œπ—₯π—˜π— π—˜π—‘π—§: Β Scheduling one standard appointment for six consecutive months. Β If you'd like more appointments each month, no problem! Β While you are a member, each standard appointment is just $50. Β Note: Β Membership appointments are for you and cannot be transferred. Β If an appointment is missed, it will be forfeited. Β  *
Do you agree with the following: Β π—£π—”π—¬π— π—˜π—‘π—§:Β  The first charge will be processed on the day of your first appointment. Β From that point forward, an automatic payment of $50 will be charged on the 1st of each month unless other agreements are made. Β If additional appointments are scheduled within the month, each appointment will be processed on the day of the appointment.Β Β After six consecutive months, you may schedule your next appointment and continue your membership or cancel your membership via the scheduling system. *
Would you like to take part in this 𝗕𝗒𝗑𝗨𝗦: Join the "Tune In Group" (in my personal online classroom) and have continued connection, tools and community support during your membership. *
Any additional thoughts, comments, fears, or wins ... feel free to share. 😊
Thank you for taking the time to share your voice with us. It's time for YOU to take committed action byΒ scheduling yourΒ STAR MEMBERSHIP | Interview & Alignment Phone Call. During this call we'll review your application [this is not a standard appointment].

Note: The link will take you directly to Schedulicity, our scheduling program. From there you'll find the selection under 'STAR Membership Connection'Β Β 
Interview Notes, Agreements, Etc. (for office use only)
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