Welcome to Steele Communications and Legacy Training Institute. Thank you for filling out the following information, release form and payment agreement. All information provided is submitted to Heather Steele’s secure and private email.

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Please check which of the following apply to your registration:

CoachingIntensives (Individual, Couples)Legacy Coaching Certification: I, II, III, IV (Nederland, Cheyenne, Sedona)Just Us: Couples Weekend Retreat (overnight)UP (Unlimited Performance) Leadership Ropes Course & RetreatWindRiders Adventure Camp (Cheyenne)WindRiders UPRadiance for WomenAscension for WomenWIN Retreat: World Impact Now

If you are registering for coaching, please describe your top three priorities that you would like to work on.

Please list any recreational or prescription drugs you are taking including marijuana and alcohol. Please be specific about how much and how often.

Are you under the care of a psychiatrist? If "yes" please list who and a phone number.

By typing your name below (required) you understand this is a liability release form and you shall indemnify, save and hold harmless Steele Communications Inc., Legacy Training Institute, Heather Steele and/or any person affiliated in any manner. You acknowledge that you have read the services and rates page in full. You understand that coaching is not therapy and you are committed to and responsible for your growth and development. All tuition and payments are non-transferable / non-refundable.