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What is ADHD
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Home
About
What is ADHD
What is ADHD Life Coaching
Adults
Educators
Videos
Resources
FAQ
Contact
Book your Free Session
Coaching Agreement Form
Quick Inquiry
Please fill in the following information to get started. All personal information will be
held in the strictest confidence.
Name:
Email:
Cell Phone:
Address:
As the client, I agree to the following:
1. I understand that my coaching will only occur once my payment is made. 2. I agree to be on time for my sessions to the best of my ability and will contact my coach giving 24 hours' notice if I need to cancel or reschedule. 3. I understand that if I miss a session without prior notice, I will be charged for this session, which will not be "made up". 4. I understand that the purpose of being coached is to assist me in goals related to my academic, professional, and personal development. Coaching is not therapy and focuses on learning, skill development, planning, and enhancement of personal growth. 5. I agree to keep an open mind, be willing to try new behaviors and experiment with new ideas. 6. I give my coach permission, to be honest, direct, supportive, and challenging during our coaching. 7. I understand that I may contact my coach between sessions via email and can expect a response within 24 to 48 hours and that texting is reserved for urgent scheduling issues.
I accept the terms of this coaching agreement
(Required)
I accept the terms of this coaching agreement
As the Coach, I agree to the following:
1. I will maintain confidentiality in all aspects of the coaching relationship. The coach undertakes not to, at any time, either directly or indirectly, use or disclose any information the client shares with them during their sessions with the following exceptions: a. If required by law b. If the client is a danger to themself or others 2. I will adhere to the International Coaching Federation (ICF) Code of Ethics. (www.coachfederation.org) You will receive a signed copy of this agreement once this form is submitted.
Consent
I give permission for Janine VanStee to list me as a client, including the number of hours of coaching received. I understand that this information will be held in the strictest confidence and used solely for her Coach Credentialing by the International
Date:
MM slash DD slash YYYY
What package are you interested in?
4 Sessions ($500)
10 Sessions ($1,200)
Which 10 session pricing option do you prefer?
10 Sessions full payment
10 Sessions split into two payments of $600
10 Sessions split into three payments of $400
Book a Free Consultation
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First Name:
Last Name:
Email Address:
Birthday:
MM slash DD slash YYYY
Are you a/an:
Adult
College Student
Educator
Email
This field is for validation purposes and should be left unchanged.