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Program Registration

Helping girls strengthen identity, health, and faith so they walk confidently in who God created them to be.

What’s included

✔ Weekly 90-minute group sessions (in person or online)

✔ Weekly One-on-one mentorship session (45 minutes)

✔ daily check-ins and follow ups and 24hr support

✔ Guided goal-setting, faith-based lessons, and practical tools

✔ One month supply of DoTerra supplements to energize from the inside out and balance horomones

✔ Lifetime confidence

Learn more

$750 for 12 Weeks

Money Back Guaranteed After 10 days

*Weekly payment options avalable

Step 1: Complete your daughter’s registration details. Step 2: Continue to payment to secure her spot.

Parent/Guardian First Name*

Parent/Guardian Last name*

Parent/Guardian Email*

Yes, keep me updated with events going on :)

Parent/Guardian Phone*

Participant First Name*

Participant Last Name*

Participant Birthday*

Month

Day

Year

Address (For mailing included program items)

Country/Region*

Address*

City*

Zip / Postal code*

Which area(s) of development are you most interested in for your child?

Physical Health (Fitness)

Nutrition

Mental Health & Emotional Resilience

Spiritual Growth

Confidence & Self-Esteem Building

What are your primary goals for your child in joining this program?

Does your child have any medical conditions, allergies, special needs, or dietary restrictions we should be aware of?*

When is your daughter available for a weekly 30-60min mentorship call?*

Mornings before school (before 8am)

I can get permission for her to do mentorship during school hours (8AM-2pm)

After school (2pm-5pm)

After sports/activities (5pm-9pm)

Only on weekends

Depends on the day

Other

Next Program Start Date is April 1st!!!

Please list at least 3 times participant could be available for a mentorship session during the weeks.

Please list at least 2 times participant would be available for a group session every week (1.5 hours)*

How did you hear about the Esteem Yourself Program?

Social Media

Esteem Yourself Event

Friend or Family Recommendation

Esteem Yourself Mentor

Young Women's Leader

Community Event

Online Search

Other

Donation (We would love for this program to eventually be free for participants!)

$10

$20

$50

Select Payment Plan*

12-week Confidence Program Upfront$750

12-Week Confidence Program Weekly Payment Option $65

Money-Back Guaranteed in first 10 days

I understand that this program is educational and mentorship-based and is not therapy, counseling, or medical treatment, nor replacement for medical help.

I consent to my child participating in the 12-week Esteem Yourself Program.

Parent/ Guardian Signature*

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esteemyourselfco@mail.com