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Home
Help Me With
Driving Coaching
Personal Coaching
Resources & Courses
Registration
Driving Coaching Registration
Personal Coaching Registration
Success Stories
About
Contact
Book Your Free 15 Min
Driving Coaching Registration
Home
Driving Coaching Registration
Full Name
Address
City
Phone
Email
D.O.B (yyyy-mm-dd)
Driver License Number
Expiry Date (yyyy-mm-dd)
Class
Previous Driving Experience
Desired Sessions
PICK YOUR SERVICE
IN-CAR Individual Anxiety & Fear Coaching with Kaniz $160
IN-CAR 5 Hour Package Anxiety & fear Coaching with Kaniz $800
IN-CAR 10 Hour Package Anxiety & fear Coaching with Kaniz $1500
VIRTUAL Individual Anxiety & Fear of Driving Coaching (50-minutes) $120
VIRTUAL+IN CAR COMBO 5 coaching Session 2 VIRTUAL AND 3 IN-CAR (50 min Each) $700
VIRTUAL+IN CAR COMBO 10 coaching Session 3 VIRTUAL AND 7 IN-CAR (50 min Each) $1400
Level of Anxiety
None
Mild
Medium
Severe
How Did You Hear About Us
Social Network
Recommended
Returning Client
News Paper
Flyer
Other
Anything else you would like to share (optional)
I Have Read & Agree to LADYBUG COACHING POLICY & RATES
YES
NO
I confirm to make the payment for my desired package by Etransfer at ladybugcoachme@gmail.com
YES
NO
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