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HOW TO INFLUENCE CHANGE

Small-Group Program for
Parents of Struggling Teens & Young Adults

Starts Monday, February 3, 2025 @ 5pm MT

Coaching for one set of parents is included in the price. You will have the opportunity to register the other party after you check out.

Order Summary

You have the option to pay in full or split it into six monthly payments. The first payment due today and the remainder will be billed monthly from this date.

Contact Information

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First Name

Last Name

Phone

Who referred you?

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You have the option to invite a co-parent to join this group at no additional cost. If you do not have their contact information readily available, or need time to discuss it, you will have the option to enter it later.

Co-Parent First Name

Co-Parent Last Name

Co-Parent Email

Co-Parent Phone

Billing Information

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Address

City

Zip Code

Country

Payment Information

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Name On Card

Card Number

CVC

Reserve My Spot!