Application to the Before I Go Method® Group Coaching Program

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Event Timing: Start now.
Zoom link will be sent to you after you have registered and paid.
Contact me at michael@myendoflifeplan.ca

Email *

Name *

Address *

Phone Number *

What areas of end-of-life planning are of most interest to you? (check as many as are applicable) *

Household matters (decluttering,

Values and Beliefs (your values and beliefs around dying, death, grief)

Legal Matters (wills, powers-of-attorney for health care and finances/property, executor/beneficiaries))

Advance Care Planning (substitute decision maker, Advance Directive, last days' wishes, DNR, organ donation etc)

Funeral Planning (burial or cremation or other method of body disposal, D.I.Y funeral or funeral director)

Legacy Options (how do you want to be remembered? legacy creation; obituaries/eulogies)

Digital Legacy (what to do with social media and other online accounts, passwords etc)

Other:

Required

I will commit the time to complete this course. (approx. 2hrs a week: 1 hr coaching session + approx. 1 hr homework) *

Yes

Required

I understand that the cost of the course is $500 CDN. (You will receive an invoice for payment) *

Yes, I will pay in full.

I require to pay in 2 monthly instalments of $250 CDN

Required

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy