Congratulations on taking the first step!

Please complete this application so that I can begin to get to know you, your goals and your desires, to ensure that we are a good fit to work together.

I will let you know within a couple business days (or the same day often) if I am confident that I can help you and what the next steps are!

After you submit your application, you will receive a confirmation notice. If you do not receive the confirmation or have any questions, please contact me at kevin@highenergyparenting.com

In health and service,
Kevin

PLEASE NOTE:
* Everything you share here is private and confidential. Please share openly and honestly.
* Do not press “enter” while you are filling out the form, as it will submit the form before you are finished.


I have the necessary financial resources to invest in creating a healthier, happier, more fulfilling life.I'll do whatever I need to do to get the necessary financial resources to invest in myself.I have absolutely no financial resources to to do anything differently than what I'm already doing and I am not open to finding them.


I’ve completed the High Energy Parenting pre-session application and would like to be considered to work with Kevin one-on-one. I understand that this application is confidential, and I am only showing interest in the program and am under no obligation to make a payment at this time. If we do decide that I am the right fit for this one-on-one coaching program, I am ready to invest $300 towards my health & the month of coaching.

Thank you for sharing your desires with me.
I'll be in touch soon.

- Kevin Cosmo