Nicci T. Real U - Client Transformation Coaching Agreement

I welcome you as a client.  I am excited to be partnering with you, and supporting you in your health, fitness and personal growth.  Please complete the following information and click submit so we can get started.
Email address *
Name *
Your answer
Date *
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Home Address *
Your answer
Phone *
Your answer
Birthday *
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DD
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YYYY
Emergency Contact Name & Number *
Your answer
Start Date *
MM
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DD
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YYYY
Do you have any medical conditions that will restrict you from working out? *
Your answer
Fitness Day & Time *
Fee Option *
Disclaimer:  The client is aware that the coaching relationship is not psychological counseling or any kind of therapy.  Coaching does not treat illness or pathology.  The client is also aware that Coaching results cannot be guaranteed.  The client agrees that he/she is entering into coaching understanding that the Client is responsible for their own decisions and results.  The Client also agrees to hold the coach free from all liability for any actions or results for adverse situations created as a direct or indirect result of a referral or other advice given by the Coach. Confidentiality: The Coach and Client recognize that the nature of the coaching relationship involves the passing of personal and business information that may be highly confidential. As such, the Coach agrees that, unless express permission is granted, all coaching calls and conversations and written communications remain completely confidential between the Coach and Client, except where prohibited by law. The Client agrees to to the contract fee commitment and understands that the fee option selected above will be fulfilled completely. By typing your name, you agree to this agreement. *
Your answer
A copy of your responses will be emailed to the address you provided.
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