Join the wait list

The next time we’re officially taking on clients is Fall 2019. However, we will have some spots opening up between now and then. Fill out this form and we will contact you if/when we have availability.

Name

Email

Time Zone

Why are you interested in coaching?

Tell us anything you'd like us to know about you (your age, gender, occupation, education, history, current challenge, personal story, etc.).

How did you hear about Clarity on Fire / who referred you?

If we have availability, how ready are you to get started immediately (within the next 4 weeks)? [1 being "not at all ready" and 10 being "extremely ready"]

Explain why you chose the ranking you did, including your ideal timeframe for getting started (if not immediately).

Which coaching option are you considering signing up for?
2 Months of Coaching5 Months of Coaching

When can you generally be available for a hour-long phone conversation (feel free to specify mornings, afternoons, or evenings in your timezone)?