The Superpower of Synergy Coaching Course Registration Form
Worksheet
1) Name:
2) Email address (this will be used to email you the Zoom link and attendance certificate):
3) Course I: Illuminating Value Awareness through the Lens of Micropreneurs and Solopreneurs
_____ Part A: 12:00 noon - 1:15 pm, week of July 27, 2026; $115.00
_____ Part B: 12:00 noon - 1:15 pm, week of December 7, 2026; $115.00
_____ Synergy Package: Part A and Part B; $197.00
_____ Individual Sessions - $25 each
Check each session that you want to attend:
Session – Topics Date
_____ 1) Knowledge and Anticipation January 23
_____ 2) Resilience and Adaptability February 27
_____ 3) Accountability and Internal Leadership March 27
_____ 4) Risk-taking and Emotional Regulation April 24
_____ 5) Rationality and Financial Literacy May 22
_____ 6) Passion and Vision June 26
_____ 7) Self-Regulation and Boundaries August 28
_____ 8) Creativity and Communication September 25
_____ 9) Perseverance and Priority Management October 23
_____ 10) Growth and Reflection November 13
Total Individual Sessions ______ x $25 = $ ________________
Course I TOTAL PAYMENT: __________ USD
4) Course II: Elevating Value Awareness through Practicum Activities
Indicate either Cohort 1 or Cohort 2
_____ Cohort 1: 11:00am - 12:30pm, beginning August 24, 2026; $197.00
_____ Cohort 2: 7:00pm - 8:30pm, beginning August 27, 2026; $197.00
Course II TOTAL PAYMENT: __________ USD
Payment by credit card
If you wish to pay by credit card, please go to Eventbrite Collection: https://www.eventbrite.com/cc/synergy-coaching-value-awareness-4855021. Please complete the form below and email it to carol@ccrobinsonassociates.com. Reimbursement or session substitution may be requested up until 5 days before the session. For reimbursement, 20% will be withheld for processing and handling. Should a session be cancelled by the organization, a new date will be provided as soon as possible.
Payment by check
If you wish to pay by check, please complete the form below and mail it along with your check made out to CC Robinson & Associates, LLC, PO Box 232304, Centreville, VA USA 20120. Reimbursement or session substitution may be requested up until 5 days before the session. For reimbursement, 20% will be withheld for processing and handling. Should a session be cancelled by the organization, a new date will be provided as soon as possible.
Register for your learning!
Registration
Sign up for your course selection by completing the following entries. Use the Eventbrite link to pay by credit card. Use information on website to pay by check. We're glad that you are joining us!