SUBSCRIPTION FORM
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  • Coaching Subscription Form

  • Package Options:

  • Athlete & Payment Information:

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  • Terms and Conditions:

  • I hereby affirm that I am voluntarily starting a course of instruction for personalized nutrition and wellness coaching and/or personal training. I am voluntarily participating in this programing entirely at my own risk.
  • Cancellation Policy:

    This contract may be cancelled by providing an Early Dismissal form which you can request from your coach. Within Reach requires at least a 30-day notice before the next billing month. If you do not submit your Early Dismissal form within 30 days of your next billing month, you agree to pay the amount due that month.

    If you paid your term in full up front, you are required to provide a 30-day cancellation notice as stated above. Within Reach is not required to refund Early Dismissals initiated by the client. Contract timeframes cannot be broken early.

    An early dismissal form must be completed and returned back to your coach for the cancellation to be in effect. Without the early dismissal form completed, your coaches committment will continue until further notice. Coaching materials and communication with continue until last effective date.

    Payment Policy:

    If payment is not received within 48 hours of payment due date, there will be a $20 fee. In addition, no further coaching materials will be received until account is paid in full. 

    Disclaimer:

    The coach is not a registered, dietitian, licensed nutritionist or medical professional. The coach does not prescribe specific foods or construct specific meal plans beyond suggesting macronutrients and micronutrients in recommended amounts. The coach does not counsel clients beyond what is in the scope of the practice as a certified health coach. The coach does not provide specific strategies for the treatment of any physical, mental or medical conditions. The information provided is not intended to diagnose, treat, manage, cure or prevent any diseases, illnesses or injuries. None of this information should be substituted for professional or medical advice. It is recommended that you consult with your primary care physician before implementing any diet, exercise, activity or lifestyle changes. The coach is not responsible for any illness, injury or death resulting from implementation of any information, suggestions, recommendations, instructions or advice provided in written or verbal form. The coach is not liable for any damages incurred as a result of doing business. The coach is not liable to user or any other party for any damages, or costs, of any character including but not limited to direct or indirect, consequential, special, incidental or other costs or damages

    Acknowledgments:

    I acknowledge that I have carefully read this form and fully understand that it is a release of liability. I expressly agree to release to this coach from any and all claims or causes of action and I agree to voluntarily give up or waive any right that I may otherwise have to bring a legal action for personal injury or property damage. 

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              Month to Month Commitment
              $20.00
                
              3 Month Commitment
              $36.00
                
              6 Month Commitment
              $72.00
                
              Year Commitment
              $120.00
                
              IN PERSON VIRTUAL COACHING per/20 minutes
              $50.00
                
               Product Image
              $10.00
                
              Total
              $0.00

              Payment Methods

              creditcard
              After submitting the form, you will be redirected to Cash App Pay to complete the payment.
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