Coaching Agreement

Great Smokies Community Classes and Life Coaching

PO Box # 1601

Kodak, TN 37764

www.greatsmokiescommunityclasses.com

(865) 771-0561

Dave Clinton, Certified Life Coach, M.S., MHC

Life Coaching Agreement

 

Client Name:________________________________________________________________________

Date:______________________________________________________________________________

 

Contact & General Information

 

Adress:_____________________________________________________________________________

City:_________________________________State:__________________________Zip:_____________

Home/Cell Telephone:_________________________Work Telephone__________________________

E-Mail_______________________________________DOB/Age:______________________________

Marital Status:________________________Referral Source_________________________________

 

Client Information

Background Information you would like the coach to know.

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Calendar for available time for coaching. (Days/Weeks/Hours/ etc.)

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Primary known objectives you would like to address, what are your goals for these sessions?

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What would you like your coaches specific role to be?

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Cooperation

It is assumed that both parties will be in full cooperation with each other in regards to the agreed upon coaching objectives. Neither party will withhold important information which would benefit the coaching process., nor will either party act in any manner which would interfere with facilitation of the coaching goals in a timely manner.

 

Appointments

We will talk as often as needed in accomplishing your goals, typically on the telephone or by web-cam conferencing. If possible and necessary to enhance your performance we will schedule to meet face-to-face. Appointments are generally once per week or every two weeks but this is a flexible schedule. Helping you achieve your greater success is always my primary objective.

Fees

Coaching fees are based on services provided. We will meet and have follow-up sessions until you feel that you have met your personal and/or professional goals. The fee schedule is $35.00 per half hour, $45.00 per three quarter hour (45 min.) or $55.00 per hour, with no retainer or contract. Payment will be through PayPal and is required prior to the session. E-mails are always available between sessions at no charge. A 24 hour notice is requested for cancellation of a coaching session. “No Shows” will be billed at the scheduled time rate.

 

Confidentiality

Confidentiality and protection of intellectual property is mutually agreed to be protected by this contract of agreement. Both parties agree that all data, information and work completed during the course of life coaching will remain confidential. No information or materials will be shared with outside sources or other people regarding the work of either party, except with the express written permission of the client or unless “Duty to Warn” criteria is met.

 

Modifications and Evaluations

Either party may modify this contract at any time it becomes apparent that modification is needed. The coach agrees to advise and influence ideas and action however the client is always the final decision maker in the coaching process. Both parties agree to re-evaluate this contract on an as-needed basis.

 

Client Signature_________________________________________________Date_________________

Coach Signature______________________________________________    _Date_________________