Step 1: Registration form

You fill in the registration form as completely as possible so that we can get an initial idea of your request for help. The entered data will be sent to us securely.

Step 2: Short request

An employee of our registration and information point will contact you within a few days to clarify your request for help and then we will discuss what else is needed to start using the help as quickly as possible. We then get to work matching a coach that best suits your needs.

Step 3: Launch

The coach will contact you, schedule a first appointment with you and then your journey will start!

Do you have doubts after the start whether the coach is a right match? That doesn't matter at all. Then please contact us. Together we will see what a better match would be.

Do you have questions?

Please contact us: call us on 085 – 300 2 300 or e-mail us

Registration form

Contact details applicant
Parent/guardian contact details
Referrer contact details
Contact details

Customer data

The details of the person for whom help is requested.



Who does the person seeking help live with? State name, relationship to requester (brother, sister, father, mother, friend, acquaintance) and age.Use the plus (+) button to add a rule.

Family composition

What members does the customer's family consist of? In other words, other people who do not live in the same household. Enter the name, relationship to the person requesting help (brother, sister, father, mother) and age. Use the plus (+) button to add a line.

Description request for help

We do our utmost to meet your wishes, however it is possible that we cannot fully meet this.


Drag files here or

Allowed file types: jpg, png, pdf, doc, docx, Max. file size: 10 MB, Max. number of files: 2.