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Home
Help Me With
Driving Coaching
Personal Coaching
Registration
Driving Coaching Registration
Personal Coaching Registration
Resources
Success Stories
About
Contact
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 $120
IN-CAR 5 Hour Package Anxiety & fear Coaching with Kaniz $550
IN-CAR 10 Hour Package Anxiety & fear Coaching with Kaniz $1000
VIRTUAL Individual Anxiety & Fear of Driving Coaching (50-minutes) $100
VIRTUAL+IN CAR COMBO 5 coaching Session 2 VIRTUAL AND 3 IN-CAR (50 min Each) $550
VIRTUAL+IN CAR COMBO 10 coaching Session 3 VIRTUAL AND 7 IN-CAR (50 min Each) $1000
Level of Anxiety
None
Mild
Medium
Severe
How Did You Hear About Us
Social Network
Recommended
Returning Client
News Paper
Flyer
Other
I confirm to make the payment for my desired package by Etransfer at ladybugcoachme@gmail.com
YES
NO
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LADYBUG COACHING
. All rights reserved.
