Your Name:



Fee:

Initial Commitment (Indicate One with an X):

Method of Payment:

Policies and Procedures:

• Client pays Coaching fees in advance, each month, or three months in advance with a discount (Check, Cash, Visa, MasterCard & Discover Cards accepted)
  
• Intake packet will be sent to client immediately upon receipt of payment
• Client e-mails/faxes Prep Sheet 24 hrs prior to each session
• Client calls Coach at phone number specified above, at the agreed upon time and is ready to work
• Client pays for long distance charges, if any 24 hrs notice is required on all session cancellations.
• Otherwise, the time you booked with your coach is billable
• Additional time with your Coach may be purchased at any time
  
  

  Coaching Agreement (cont.)

  
  

Client agrees to raise any concerns she/he might have about the coaching process or relationship with coach and coach agrees to address all openly and honestly


Duration:

• The Initial Coaching Session is typically 1 hr. long
• Subsequent call schedule to be mutually agreed upon:
  • Two 1-hour calls per month
  • Three 40-minute calls per month
  • Four 30-minutes calls per month

  
  

  I understand that Coaching is not advice-giving, psychotherapy or counseling (my coach has explained the difference), and that professional referrals will be given, if needed.
  
  I understand that Coaching is a potentially powerful alliance designed to help a client achieve specific, identified goals. Coaching may address specific personal projects, business successes, and/or general conditions in a client's life or profession. I understand that Coaching services may include values clarification, brainstorming, examining modes of operating in life, identifying plans of action, the sharing of educational information, the asking of clarifying questions and the making of empowering requests.
  
  As a client, I understand and agree that I am fully responsible for my well being during, after and between my coaching calls. I am responsible for any and all choices and decisions I make.
  
  Upon completion of the initial contract period, should my coach and I agree, coaching will continue on a month-to-month basis. I am aware that I may choose to discontinue coaching at any time.
  
  The coach promises the client that all information shared with the coach will be kept strictly confidential.
  
  Our signatures on this agreement indicate full understanding of and agreement with the information outlined above.

  
  
  

  __________________________                                                         _______________
  Client's Signature                                                                                     Date
  
  
  
  __________________________                                                        _______________
  Coach's Signature                                                                                   Date