Coach Registration

Are you a health coach of a current client, or a health coach/dietitian who would like to register a private group?

Client Health Coaches and Dietitions may view and interact with each client's: 1) daily tracking data, 2) health journals, and 3) questionnaire answers, and share a private message board with each member for easy and private communication. Coaches may also maintain a "Coach's Corner" message for all of their clients/members to view. Read more in our Coach's FAQ.

Please fill out the fields below and provide a list of your current licenses and certifications. This information is viewable by individual members in groups such as yours that have designated you as their "Health Coach". Upon completion of the form, click "Create Coach Account".  Once approved your name will be displayed for the Group Administrator to select you for display to all members of their group.

Health Coach Requesting a Private Group

Once your coaching account has been created, go to the my95210 registration form for your PayPal payment. We will create your private group once payment has been received and send you instructions on inviting clients to register with your group with a private access code.

Please contact us if you have any questions at james@95210.org or (850) 274-6225.


 Coaches are required to use PayPal as their payment service
By clicking on the Create Coach Account button,
I agree to the 95210 Coaching Guidelines.