Coaching Agreement

Please complete the form below prior to your Initial Coaching Session.  

Today's Date *
Today's Date
Name *
Primary Phone Number *
Primary Phone Number
Secondary Phone Number
Secondary Phone Number
As part of this coaching agreement, I acknowledge the full cost of the coaching program to me to be in the amount of $7,000 USD or six (6) installments of $1167.00 due on the 12th of each month. I hereby acknowledge that in enrolling in coaching I am responsible for the full amount of the cost of the coaching program regardless of completion. While I understand that coaching is potentially a life-changing experience, I also accept that I remain responsible for my choices, actions, thoughts and feelings throughout the coaching process. Note: Any coaching session may be recorded upon your approval in audio format and shared for purposes of review only.