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Alison's Extraordinary Relationship Intensive Application

Alison reviews applications every Wednesday. You'll receive a response within 48 hours of her review.



Each Participant Must Complete an Application
* indicates required field
First Name *   
Last Name *   
Phone Number *   
Email Address * 
(confirm)  
Gender *   
Applying as *   
Name of the Person you're in Relationship with *   
Co-Participant's Email Address   

(Required if you're applying as a couple)

Gender of the Person you're in Relationship with *   
Form of your Relationship * 

What is the form of your relationship? (Ex:Boyfriend/Girlfriend, Committed/not living together, Committed and living together, Married, Married/Separated, etc.)

 

How Long Together * 

How long have you been together?

 

If married, how long have you been married?

 

Children 

Children? If Yes, age and gender for each.

 

Quality of your Relationship * 

Please rate the quality of your relationship, for you, at this time, from 1-10, where 1 is "needs rescuing,"
5 is "okay, but wouldn't want to do this forever", 9 is "ready to go from good to great."

 

Relationship's Strengths * 

What do you consider to be the top 5 Strengths of your Relationship?

1.  

2.  

3.  

4.  

5.  

Frustrations/Problems/Concerns * 

What are your top 5 frustrations, problems or concerns in your relationship?

1.  

2.  

3.  

4.  

5.  

Results * 

What are the top 5 results you intend to achieve by participating in this Intensive?

1.  

2.  

3.  

4.  

5.  

Share with Partner? *  Will you share these responses with your partner?    
Anything Else? 

Anything else you'd like Alison to consider when reviewing your application?

 
Payment Choice * 

Upon acceptance into the Extraordinary Relationship Intensive, I authorize the following tuition charge:

As a Couple: The Pay-in-Full amount of $24,995
As a Couple:: The deposit of $2625 to initiate the Payment Plan option
Followed by 9 additional payments of $2625 made every 31 days after deposit.
As an Individual in a Couple: The Pay-in-Full amount of $14,995
As an Individual in a Couple: The deposit of $1,575 to initiate the Payment Plan option
Followed by 9 additional payments of $1575 made every 31 days after deposit.
 

Upon submitting this form, you may be prompted to login, create an account, or add a payment method if necessary.

Pre-authorizing with a specific payment method is a declaration of your commitment to being in the Intensive, if you're accepted. Without a specific payment method, your application will be reviewed by Alison after other applicants have been considered. Please help conserve Alison's energy and ONLY submit an application if you're committed to being in the Intensive.

If you have questions about the Extraordinary Relationship Intensive, it's important you resolve them before applying. Contact our Personal Consultants if you need assistance.

Agree to Terms *  If accepted into the program, I agree to the Intensive Terms and Conditions.
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