Certification Application Form

Fill out this short form to reserve your place. 


If you are interested in the Binge Code Recovery Coach certification, please fill out this form below. If you need help with the form contact us on training@bingecode.com.

After submitting your application our team will review it and get back to you within 2 working days.

By submitting this application, I affirm that the information provided is true and complete. I understand that any false statements or mis-representations made by me on this application may result in my dismissal from the program.