Name*
A required, non-refundable $25 application fee for Track 1 and $100 for all other tracks will be applied.
Membership*

Payment Information



Billing Address
Payment Options*
Payment Options*
Payment Options*
Payment Options*
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Payment Options *
Payment Options*
Payment Options*
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Payment Method*

Make check payable to: Dream Releaser Coaching

Mail the check to:
950 Eagle's Landing Parkway Ste. 295
Stockbridge, Georgia 30281

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