1. Client understands that all information entered in this form will be considered strictly confidential.  The data gathered from this form will only be used as a basis for the type of coaching the Client will need.

2. Client understands that in order to be successful, it is vital to follow the plan agreed by both the Coach and the Client.

3. Client is responsible for creating and implementing his/her own physical, mental, emotional and spiritual wellbeing, decisions, choices, actions and results. As such, the Client agrees that the Coach is not and will not be liable for any actions or inaction, or for any direct or indirect result of any services provided by the Coach.

4. Client understands coaching is not therapy and does not substitute for therapy if needed, and does not  prevent, cure, or treat any mental disorder or medical disease.

5. Client understands that coaching is not to be used as a substitute for professional advice by legal, mental, medical or other qualified professionals and will seek independent professional guidance for such matters. If Client is currently under the care of a mental health professional, Coach will recommend that Client inform the mental health care provider.

6. Client agrees to communicate honestly, be open to feedback and assistance, and create the time and energy to participate fully in the program.

By signing this Agreement, I, the above-named Client, hereby acknowledge that I agree and understand all the terms and conditions of this Agreement.