Name *

First Name

Last Name

Phone *

Country

(###)

###

####

Year of Study *

Entering First Year of College/University

Entering Second Year of College/University

Entering Third Year of College/University

Entering Fourth Yearof College/University

Grad School

Professional Program

Trade/Apprenticeship

Last Year of High School

Other

Coaching Interest *

Small Group Coaching for ADHD students with Jason Froats, ADHD/Performance Coach

Individual Coaching with Jason Froats, ADHD/Performance Coach

Workshops on thriving with ADHD & overcoming obstacles

Workshops on de-cluttering space & overcoming overwhelm

Workshops on procrastination & goal-setting/achieving

Workshops on managing emotions & self-regulation with ADHD

Workshops on time management & task management

Other

I would like to Enroll in the 2024/5 Small Group Coaching Program:

OPTION A - SEMESTER PACKAGE - $2,250 (10% Discount - $250)

OPTION B - MONTHLY PACKAGE - $625 / Month (+ HST) - Paid the 1st of each month - *Credit Card Only

Do you prefer payment by credit card or e-transfer?

Credit Card (Visa or Mastercard) payment

E-transfer

Other

* Yes, please add me to your Waitlist (ie. If program is full)

Term (Winter) 2

Next Year (2025/6)