Retreat Registration

Use this form to register for an upcoming retreat

You did it! You're here, you're ready.

Where inspiration meets action, therein lies the key to all transformation.

And it starts with a single step.

Welcome! I'm thrilled that you have taken this step to achieving your goals! This is a big deal.

This short form will help me get to know you better prior to the retreat! It will also walk you through step by step how to register for the Retreat.

Next steps:

Once you have completed this form, use the link below to complete your retreat registration. This payment link will take you to my online store so you can secure your spot in the upcoming retreat.
If you have a question about the retreat, please let me know. Send your email to ask@catalystactioncoaching.com.
Once your registration is complete, you will receive your Welcome Email! with details about the upcoming retreat. *Please add @rebeccacooley.com to your address book.

I'm looking forward to meeting you soon and helping you achieve your goals and offer you the support you need. Please let me know if you have any questions. Thank you!

Wishing you much peace and joy,
-Rebecca Cooley

Certified Master Coach & Instructor

*Master Coach Rebecca Cooley specializes in executive coaching, public speaking training, career coaching, interview preparation, goal achievement, and mindfulness.

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* 1. Contact information

Name:

Occupation and Title:

Age:

Address:

City/Town:

State:

Phone Number:

Email Address:

Which course are you interested in? (please include the full name of the class AND the start date)

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* 2. What do you hope to gain from this retreat?

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* 3. What is the one big thing that is getting in the way at this time?

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* 4. What strategies have you taken so far to help you achieve your goals and address any challenges you are facing? (check all that apply)

Classes

Individual or Group Counseling or Therapy

Independent Study

None of the above

Other (please specify)

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* 5. How do you hold yourself accountable and motivated to achieve your goals?

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* 6. Because of the whole person approach and intrinsic coaching involved in my retreats, classes and coaching programs, my programs are designed specifically for partners who are looking for the specific type of coaching I offer.

My partners are:

Courageous and willing to look at all aspects of the issue including internal blocks and beliefs to make lasting shifts

Committed and willing to do the work needed to achieve their goals

Motivated or willing to learn motivational strategies

And ready to take it to the next level with their personal or professional goals

Are you a Catalyst?

Please take a look below and check the boxes if you feel this is you:

Yes, my challenge involves an intrinsic goal and I am willing to look more deeply at my beliefs and emotions to overcome any mindset blocks I may have. While my main goal may be skill building, I understand the complexity of this challenge and am not solely focused on skill building. I am open to learning strategies from a variety of disciplines to help me achieve my goals, including but not limited to self-reflection, self-compassion work, mind-body stress reduction techniques, etc.

Yes, I am currently taking actions toward my goals. I am personally motivated and also open to learning motivation strategies if needed. I am interested in personal empowerment. I am committed to practicing and applying what I learn in this program immediately. I have a strong desire to create lasting change for myself. I am ready to do the work.

Yes, I am ready now to take things to the next level of my personal and professional growth. My growth is not a lofty goal that can wait for another day but instead it is a current and active pursuit. It is a hot goal for me and I am serious about taking action now.

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* 7. Which keywords did you use to search for us? (ex. public speaking class Raleigh)

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* 8. FINALIZE YOUR REGISTRATION HERE
(IMPORTANT: Open links in separate tabs and Remember to press "DONE" to submit this registration form.)

Yes, I have read, understand, and agree to the terms outlined in the Agreement. Click here to access the Agreement prior to purchase.

Yes, I have secured my spot and made my payment. Click here to access our online store and complete your payment.

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* 1. Contact information

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* 2. What do you hope to gain from this retreat?

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* 3. What is the one big thing that is getting in the way at this time?

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* 4. What strategies have you taken so far to help you achieve your goals and address any challenges you are facing? (check all that apply)

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* 5. How do you hold yourself accountable and motivated to achieve your goals?

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* 7. Which keywords did you use to search for us? (ex. public speaking class Raleigh)

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* 8. FINALIZE YOUR REGISTRATION HERE (IMPORTANT: Open links in separate tabs and Remember to press "DONE" to submit this registration form.)

* 8. FINALIZE YOUR REGISTRATION HERE
(IMPORTANT: Open links in separate tabs and Remember to press "DONE" to submit this registration form.)