Private Coaching Session Signup

Adult Coaching Signup Form

Welcome. We're delighted to see you!
Section 1: Client Details | Your Name*

First NameLast Name
Client’s Date of Birth

MonthDayYear
Date
Email Address*
example@example.com
Phone Number / Mobile *

Country CodeArea CodePhone Number
Country of Residence
Nature and Terms of Coaching

1. Nature of Coaching

Professional, and mindfulness coaching is a supportive, goal-oriented process designed to enhance focus, wellbeing, resilience, academic and professional performance.

Coaching is not therapy, counselling, or medical treatment and does not diagnose or treat medical health conditions.

If appropriate, you may be encouraged to seek support from a GP or healthcare professional.

2. Confidentiality

All coaching sessions are treated as confidential.

Confidentiality may only be limited in exeptional circumstances, including: Serious and imminent harm of you or others, safeguarding concerns, where disclosure is required by law.

Where appropriate and possible, any necessary disclosure will be discussed with you beforehand.

3. Online sessions

Sessions are conducted via video platform. Reasonable steps are taken to ensure privacy and security.

You are responsible for attending sessions from a private and appropriate environment.

4. Client Responsibility

You acknowledge that: Coaching is a collaborative process

You are responsible for your own decisions and actions

Outcomes cannot be guaranteed

5. Governing Law

Coaching services are provided from England and are governed by the laws of England and Wales.
I understand coaching is not therapy or medical treatment.I understand confidentiality may be limited in cases of serious risk of harm of harm or legal obligation.I understand sessions are conducted online.I agree to participate voluntarily.I have read and understood this agreement.
Section 3: Signature | Typed Client Name
Date

MonthDayYear
Date
Client Signature *
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Adult Coaching Signup Form