Blue Ridge Resource Center Life Coach Agreement
Please review this document and acknowledge your willingness to accept help from a Blue Ridge Resource Center approved Life Coach. Any person who wishes to receive life coaching must sign this agreement first. Blue Ridge Resource Center will not share copies of your signed agreement with anyone. Keeping this agreement is your responsibility.
Email address *
Here is what you can expect from us.
1. We will support you and help you establish a plan for life change.
2. We will help you connect with people who can help you succeed in the goals you set, and we will explore services that you may want to consider using for support in attaining these goals.
3. We will not be able to provide transportation of any kind.
4. We will keep our relationship with you confidential, but when needed share information with other life coaches within the BRRC.
5. We are legally and ethically obligated to report a life coaching participant’s disclosure of personal involvement with-child or elder abuse/neglect, threatened self-harm, or harm to others.
Here is what we expect from you:
1. Achievement of your goals is your responsibility. Any decisions you make after considering your options in the life coaching process are your decisions and not the responsibility of your Life Coach.
2. Please keep your life coaching appointments and be on time. If you are unable to keep your scheduled appointment, please contact your coach as soon as possible.
3. You understand and agree that you will not see to hold your Life Coach, the BRRC staff, employees, volunteers, the Blue Ridge Resource Center, or Greater Recovery and Community Empowerment legally responsible for your decisions or actions.
4. You can contact the coordinator who signs below with any questions or concerns you have about your coaching experience or if you feel you might benefit from having a different coach.
Together, we will explore what you can do to improve your life. We are here to help you think about ways your life can get better. We will support you in taking action and helping you achieve your goals.
Any other boundaries to be added to this agreement?
Participants Last Name: *
Patricipants First Name: *
Participants Email:
Participants Phone Number: *
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.  *
Required
Life Coach's Last Name: *
Life Coach's First Name: *
Life Coach's Email: *
Phone Number or other Contact Info for Life Coach:
A copy of your responses will be emailed to the address you provided.
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