1:1 Coaching Agreement

1
You, Full Name * , are hiring me (Jay Fields and Stellar Jay, LLC) for six sessions of 1:1 coaching as outlined below.
2
Coach and Client Responsibilities* This field is required.
3
Confidentiality and Scope of Work* This field is required.
4
During the course of the agreement with Jay, if you'd like for her to be able to communicate with any of your other provider(s), please provide their information:Please list the names and contact details for any other heath and wellness providers you are working with.
Huge
Large
Normal
Small
Ok
Ok
5
Fees and Payment* This field is required.
6
Appointment Scheduling and Cancellation Policy* This field is required.
7
Communication Policy* This field is required.
8
Session Expiration* This field is required.
9
Agreement Term and Termination* This field is required.
10
Terms and Conditions (aka the legal stuff)* This field is required.A note from Jay: The following is stuff my lawyer asked me to include. I’ve tried to make it as brief and user-friendly as possible. It lays out what happens if things go south between us, so please read it. I trust that each of us will make every effort to ensure that does not happen, but nevertheless it’s best for us to agree in advance on what will occur in the unlikely event that it does.
11
What is your gender?* This field is required.Check one or more options that reflect your gender.
Woman
Man
Non-binary
Transgender
Intersex
Two Spirit
Gender Non-conforming
Prefer not to share
Other
12
What are your pronouns?
13
When is your birthday?* This field is required.You'll receive a little fun from Jay on your birthday.
Date
Month
Day
Year
14
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
15
Phone Number* This field is required.
Please enter a valid phone number.
16
Email Address* This field is required.We will use this email address to communicate with you about the course.
example@example.com
17
Signature* This field is required.By signing this agreement, you are acknowledging that you have read, agree to and accept all of the terms and conditions contained in this Agreement. We may amend this Agreement at any time by sending you a revised version at the address you provided above. You will be redirected to pay for the coaching services after you REVIEW your responses and click SUBMIT.
18
Signing Date* This field is required.
Should be Empty: