Program Agreement




During the coming six months, you will learn ways to help yourself achieve a healthier diet and lifestyle. Please read the following. If anything is unclear, please ask. (3 month program is also available.)

This Agreement is made between the Coach of the Program and the person named
at the end of this document, [the Client].
The Program in which you are about to enroll in will include the following:

A.    Two one hour appointments each month for three/six months, which will include a
discussion of your progress, recommendations, and a full set of notes.

B.    A variety of handouts, recipes, books, food samples, and other materials.

C.    An invitation to attend special events.


As your Coach, I understand that my clients have busy schedules and I take pride in not keeping them waiting or keeping them longer than planned. Each session will end 60 minutes after it was scheduled to begin. Please be on time. If the Client needs to cancel or reschedule the appointment, the Client must do so 24 hours in advance; otherwise, the Client will forfeit that appointment and will not have an opportunity to reschedule it.

This program expires if all 6/12 sessions have not been
completed within two months after the End Date specified above.


The Client understands that the regular cost of the Program is $200 per month for
three/six months.

In the event of the Client’s absence or withdrawal, for any reason whatsoever,
the Client will remain responsible for the pro rata share of the program that has been delivered, plus a cancellation fee of $50.

The Coach reserves the right to cancel the program if at any point she or he  feels it is not advantageous for the coaching program to continue. If this happens,the Client is only responsible for the pro rata share of coaching services received.


The Client understands that the role of the Health Coach is not to prescribe or assess micro- and macro-nutrient levels; provide health care, medical or nutrition therapy services;
or to diagnose, treat or cure any disease, condition or other physical or mental ailment of the human body. Rather, the Coach is a mentor and guide who has been trained in holistic health coaching to help clients reach their own health goals by helping clients devise and
implement positive, sustainable lifestyle changes. The Client understands that the Coach is
not acting in the capacity of a doctor, licensed dietician-nutritionist, psychologist or other
licensed or registered professional, and that any advice given by the Coach is not meant to
take the place of advice by these professionals. If the Client is under the care of a health
care professional or currently uses prescription medications, the Client should discuss any
dietary changes or potential dietary supplements use with his or her doctor, and should not discontinue any prescription medications without first consulting his or her doctor. 

The Client has chosen to work with the Coach and understands that the information
received should not be medical or nursing advice and is not meant to take the place of seeing licensed health professionals.


The Client acknowledges that the Client takes full responsibility for the Client’s life
and well-being, as well as the lives and well-being of the Client’s family and children
(where applicable), and all decisions made during and after this program. 

The Client expressly assumes the risks of the Program, including the risks of trying new foods or supplements, and the risks inherent in making lifestyle changes. The Client releases the Coach from all liability, damages, causes of action, allegations, suits, sums of money, claims and demands whatsoever, in law or equity, which the Client ever had, now has or will have in the future against the Coach, arising from the Client’s past or future participation in, or otherwise with respect to, the Program


The Coach will keep the Client’s information private, and will not share the Client’s information to any third party unless compelled to by law.



If there ever arises a dispute between Coach and Client with respect to the services provided pursuant to this agreement or otherwise pertaining to the relationship between the parties, the parties agree to submit to binding arbitration before the American Arbitration Association (Commercial Arbitration and Mediation Center for the Americas
Mediation and Arbitration Rules). Any judgment on the award rendered by the arbitrator(s) may be entered in any court having jurisdiction thereof. Such arbitration shall be conducted by a single arbitrator. The sole remedy that can be awarded to the Client if an award is granted in arbitration is refund of the Program Fee. Without limiting the generality of the foregoing, no award of consequential or other damages, unless specifically set forth herein, may be granted to the Client.

This agreement shall be construed according to the laws of the State of [your state].
If any provision of this Agreement is deemed unenforceable, the remaining portions of the Agreement shall be severed and remain in full force.  

If the terms of this Agreement are acceptable, please sign the acceptance below. By doing so, the Client acknowledges that:

(1) he/she has received a copy of this letter agreement;

(2) he/she
has had an opportunity to discuss the contents with the Coach and, if desired, to have it reviewed by an attorney; and

(3) the client understands, accepts and agrees to abide by the terms hereof.

COST:  Options One $200 a month for 3 months  

            Option Two  $200 month for 6 months

Payment option