Student Enrollment Form

We are so excited you are ready to make your dream come true! You need to complete just two steps to register. Please call us at 1-877-633-5082 ext 1 with any questions.

Step 1: To enroll, please complete the form below. Tuition for the course is listed in the "Course Selection" section below and payment plans are just below.

Step 2: Within 24 hours you will receive an email receipt for your first payment, a WCI Student Manual, a Student Vision Worksheet, a password for the WCI Student Center and a Welcome email.
Complete the Following Basic Registration Information
Select Your Course

Select Your Caregiver Coach Teleclass Course Start Date

If you are registering for a Caregiver Coach Teleclass in the Course Selection section above please choose your start date below:

First Name
Last Name
Street Address
Email Address
Floor, Apt. or Suite
Zip Code, Post Code
Confirm Email Address
Cell Phone
Home Phone
If You Are Paying By Credit Card, Please Enter Your Credit Card Information Below
Business Name on Credit Card If Applicable
Address on Card if Different From Above
Credit Card Number
Credit Card Expiration Date
Floor, Apt. or Suite
Name on Card
Credit Card Type
OPTIONAL Select Your ICF Mentor Coach -- For Those Who Plan to Apply for Their ICF Credential

If you would like to obtain your 10 hours of ICF Mentor Coaching from our ICF MCC or ICF PCC Mentor Coaches please choose your preferred option(s) below. Please note that your payment and contract will be with your chosen coach and is not indcluded in your tuition.

Agree to WCI Terms & Conditions
Zip Code, Post Code
Now, choose your NO INTEREST payment option. No penalty for early payment either!
Non-refundable Financing Fee Processed at Time of Enrollment: $200.00

*NOTE: Monthly payments will be collected on the 1st of every month until the balance is paid in full. Monthly payments begin on the first of the upcoming month. The final payment will be in the amount of the remaining balance. You may always pay more than your monthly payment at any time by emailing with the date and amount you would like processed. And there's no penalty for early payment.
e.g. 08/11
Select Your Payment Option
Cost for 10 Sessions: $2000

(prices already include a 30% discount):

  • 1 session = $200

***Payment Options: Payment and contract will be directly with Meade!

9-Session Plan
$650 for 9-Session Package payable in 3 installments of $217 due at the beginning of each month for 3 sequential months.

Students who wish to continue being mentored beyond 9 sessions will qualify for the 30% discount until they receive their coach certification.

Includes free 20-min consultation.

***Payment Options: Payment and contract will be directly with Doro!
Certified Caregiver Coach Teleclass Option
*Includes Certified Professional Coach designation
Additional Amount You Would Like to Put Down in addition to the Registration Payment (OPTIONAL)
Payment Plan*
Or Choose Another Form of Payment

These options are available for One-Time Payments Only!
These options are NOT available for Monthly Payment Plans.
Checks and money orders
To be made payable to: World Coach Institute, Inc.

And mailed to:
World Coach Institute, Inc.
PO Box 398212
Miami Beach, FL 33239
Please select:
- If you have chosen Western Union we will contact you for the details
I agree to the WCI Terms & Conditions located here
Please Let Us Know How You Found Us
Friend or WCI Instructor's First & Last Name
Which one?:
Choose Your Payment Plan Option Below
You may always pay down your balance without penalty by emailing admissions too!
©2006-2011 World Coach Institute Inc. All rights reserved
Unauthorized reproduction, distribution, or exhibition of this copyrighted material is strictly prohibited
Thank you for choosing WCI! Welcome aboard!
And When You Have Completed Everything Above, Please Don't Forget to Click Submit!
Do you have a promotion code? Please enter it here:
Promotion Code
Name on Your Certificates

How would you like your name to be printed on your certificate(s)?

Anything else we need to know?
We offer 1-on-1 instructor support outside of class time as follows:
Add 1-on-1 Instructor Support
One time payment - Receive Additional $200 discount
First payment when you register is $1000.00; then pay $1000.00 per month
First payment when you register is $700.00;  then pay $700.00 per month
First payment when you register is $500.00; then pay $500.00 per month
First payment when you register is $300.00; then pay $300.00 per month
First payment when you register is $150.00; then pay $150.00 per month
Doro Kiley, PCC
Meade Dickerson, MCC
Certified Caregiver Coach Teleclass - $4,000.00
Western Union
Money Order
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MON and WED 6:30pm EST, starting May 21, 2012 for 17 Weeks
MON and WED 6:30pm EST, starting Oct 10, 2011 for 17 Weeks
3-Hours of 1-on-1 Instructor Support for $145.00 (added to your balance)
MON and WED 6:30pm EST, starting Feb 27, 2012 for 17 Weeks
MON and WED 6:30pm EST, starting Sept 24, 2012 for 17 Weeks