Sober Toolbox Client Commitment form & Waiver
In Order To Register For The Course, You Must Read And Acknowledge The Following:
Email address *
As your Sober Toolbox Coach, my commitments to you are:
•I will be your guide.
•I won't ask you to do anything I'm not doing myself.
•I will respect and maintain the confidentiality of all members in our group.
•I will help you anticipate and overcome obstacles that threaten to sabotage your goal.
•I will hold you accountable to the vision, objectives, and commitments you set for yourself.
•I am invested in your success.
•When something isn't working, I will take time to troubleshoot with you.
•I will provide you with information, cheat-sheets and recipes based in holistic health and wellness to support you in reaching your objectives.
•I will create a safe space for you to show up as you are. I will create a dynamic space where you can receive support to grow, change, and transform your health in line with your vision.
•I will make sure that the group stays on track to our collective goals in learning, practicing, and adopting the basic habits of your Sober Toolbox.
I have read and understand the commitments of Joy Herbst as my Sober Toolbox coach. *
MM
/
DD
/
YYYY
As a member of our group, you agree to wholeheartedly commit to:
•Abstaining from alcohol for the duration of the 6 week course.
•Respecting the confidentiality of my fellow course members and the privacy of what they share.
•Learning the process and engaging in the lessons.
•Showing up authentically, as I am, with a willingness to evolve my health.
•Maintaining a positive, safe space for myself and your co-members to learn, grow, and engage in healthier habits for body, mind and spirit.
I have read, understand and agree to my personal commitments in this Sober Toolbox course. *
MM
/
DD
/
YYYY
The Sober Toolbox is an online course that provides coaching and education within our group. The client is aware that the coaching and teachings in this program in no way are to be construed or substituted as psychological counseling or any other type of therapy or medical advice. I (Joy Herbst) will at all times exercise my best professional efforts, skills and care of ensuring my client (you) is coached to meet their goals, the client understands and acknowledges that I will not be liable legally or otherwise, for the actions the client may or may not undertake as a result of the Sober Toolbox course. *
MM
/
DD
/
YYYY
No assumption of responsibility is made, or given, and the client requesting such advice agrees not to hold Joy Herbst (Provider) or Purnima Women's Health LLC, responsible or liable in any form or fashion, for such actions taken of their own accord. The method and process by which this advice and direction are given in no manner whatsoever, written or verbal, constitutes an agreement or liability on the part of the provider and is acknowledged to be different in many ways than clinical and medical counseling. You (the client) agree that using any of these services are entirely at your own risk. *
MM
/
DD
/
YYYY
The Sober Toolbox course and Joy Herbst's services are provided "as is", without warranty of any kind, either expressed or implied, including without limitation any warranty for information services, coaching, uninterrupted access, or products and services provided through or in connection with the service. This service is requested at the client's own choice and with inherent singular responsibility. Any actions or lack of actions taken by the client of such advice is done solely by choice and responsibility of the client and is neither the responsibility nor liability of Joy Herbst (Provider) or Purnima Women's Health. *
MM
/
DD
/
YYYY
The client takes full responsibility in the decisions they make after being coached as well as the consequences. The client enters into coaching with full understanding that they are responsible for creating their own results. *
MM
/
DD
/
YYYY
Periodically I, Joy Herbst, may provide links to other web sites or written print material which may be of value, interest and convenience to you. This does not constitute endorsement of material at those sites or any associated organization product of service . It is the responsibility of the user to make their own informed decision about the accuracy of the information at those sites and print material including their privacy policies. In no event shall Joy Herbst (Provider) or Purnima Women's Health be liable for any incident or consequential damages resulting from use of the material. *
MM
/
DD
/
YYYY
By typing my name and email address below, I confirm that I have read, understand, and agree to these terms. *
Your answer
I am very excited to have you as a valuable member of this community! I so look forward to working with you in the Sober Toolbox course. With great love and thanks, Joy Herbst
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Joy Herbst, Purnima Women's Health LLC. Report Abuse