check

EBT Small Group Coaching Enrollment

Please complete this form in its entirety to finish your enrollment in EBT small group coaching.

Click the button below to start.

Start

Question 1 of 4

Full Name

Question 2 of 4

Email Address

Question 3 of 4

Phone Number (For EBT Spiral Up App Access)

Question 4 of 4

Please select ALL the dates and times that you could commit to on a weekly basis for small group coaching from January 2026 through the end of March 2026. 

(Select all that apply)
A

Tuesday at 9 AM CT

B

Tuesday at 10 AM CT

C

Tuesday at 3 PM CT

D

Thursday at 10 AM CT

E

Thursday at 11 AM CT

Confirm and Submit