Coaching Agreement

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Coaching Agreement Form

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As we begin, please look over the terms and conditions outlined below, and complete the information on this form. By pressing SUBMIT, you signify your agreement.

1. AS A CLIENT, I UNDERSTAND AND AGREE that I am fully responsible for my well-being during my coaching calls, including my choices and decisions. I am aware that I can choose to discontinue coaching at any time. I recognize that coaching is not psychotherapy and that professional referrals will be given if needed.

2. I UNDERSTAND that “Life Coaching” is a relationship I have with my coach that is designed to facilitate the creation/development of personal, professional or business goals and to develop and carry out a strategy/plan for achieving those goals.

3. I UNDERSTAND that life coaching is a comprehensive process that may involve all areas of my life, including work, finances, health, relationships, education and recreation. I acknowledge that deciding how to handle these issues and implement my choices is exclusively my responsibility.

First Name *

Last Name *

Phone number *

Email address *

Address *

City *

State *

ZIP Code *

Date of Birth *

Message

Preferred Start Date *

Terms we've agreed to: *

Payment Preferences *

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I hereby agree to all the terms on this form, and allow this website to store my submission. *

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