Coaching Client Consent Agreement
As the Client or parent or legal guardian of the client, I certify that I am over the age of 18, and acknowledge that I give permission for the client to experience coaching services either in person, by phone, or using a password-protected teleconferencing platform at mutually agreeable times/days. I understand that access to technology and an internet connection for the purpose of accessing online coaching and materials is the responsibility of the client. I understand that the sharing, replicating, or selling of any/all copyrighted material developed and delivered by Certified Life Coach Marybeth Cale, Founder of Estuary Leadership (Coach), throughout the coaching program is prohibited by law.
I understand that coaching is an alliance, (not a legal business partnership) between the Coach and the Client which is designed to promote self-discovery and the development of action steps toward the registrant/coachee’s desired outcomes. Coaching conversations are centered around facilitating the creation/development of personal, professional or business goals and developing and carrying out a strategy/plan for achieving those goals. Those goals are client-driven and client-centered. The Coach will make observations and offer information and at times, advice, but ultimately, it is up to the client to determine what he/she most wants and bring his/her goals to fruition.
I understand that Marybeth Cale, Estuary Leadership, and affiliates will not be held responsible for any decisions or actions taken as a result of coaching or available training programs, and will not be held responsible for the consequences of any choices that have been made as a direct or indirect result of the coaching experience.
Cancellation Policy I understand that attendance is the responsibility of the client, and that no refunds will be granted unless cancellation has been made at least 24 hours in advance of the coaching session.
Payment I understand that unless other arrangements have been made, payment in full is expected in advance of each session.
Code of Ethics I acknowledge that the Coach agrees to maintain the ethics and standards of behavior established by the International Coach Federation “(ICF)” (Coachfederation.org/ethics).
I understand that clients are solely responsible for creating and implementing his/her own physical, mental and emotional well-being, decisions, choices, actions and results arising out of or resulting from the coaching relationship and his/her coaching calls and interactions with the Coach. As such, the Client agrees that the Coach is not and will not be liable or responsible for any actions or inaction, or for any direct or indirect result of any services provided by the Coach. Client understands coaching is not therapy and does not substitute for therapy if needed, and does not prevent, cure, or treat any mental disorder or medical disease.
I understand that coaching is a comprehensive process that may involve different areas of life, including work, finances, health, relationships, education and recreation. I agree that deciding how to handle these issues, incorporate coaching principles into those areas and implementing choices is exclusively the responsibility of the client.
I acknowledge that coaching does not involve the diagnosis or treatment of mental disorders as defined by the American Psychiatric Association and that coaching is not to be used as a substitute for counseling, psychotherapy, psychoanalysis, mental health care, substance abuse treatment, or other professional advice by legal, medical or other qualified professionals and that it is the Client’s exclusive responsibility to seek such independent professional guidance as needed. If Client is currently under the care of a mental health professional, it is recommended that the Client promptly inform the mental health care provider of the nature and extent of the coaching relationship agreed upon by the Client and the Coach.
I understand that in order to enhance the coaching relationship, clients must communicate honestly, be open to feedback and assistance, and create the time and energy to participate fully in the program.
I hereby employ Marybeth Cale, Estuary Leadership (Cale Consulting, LLC) as “Coach”. I understand and agree that Marybeth Cale is not functioning as an “employment agent”, “business manager”, “financial analyst” or “psychotherapist” and that she has not promised, shall not be obligated to, and will not: (1) procure or attempt to procure any employment, business, leadership positions, volunteer roles, or sales (2) will not act as a psychotherapist or mental health counselor by providing psychological evaluations or diagnoses or applying for or accepting any payments from insurance companies (3) will only provide services during the sessions unless hired under a separate agreement.
Code of Ethics This coaching relationship, as well as all information (documented or verbal) that the Client shares with the Coach as part of this relationship, is bound by the principles of confidentiality set forth in the ICF Code of Ethics. However, please be aware that the Coach-Client relationship is not considered a legally confidential relationship (like the medical and legal professions) and thus communications are not subject to the protection of any legally recognized privilege. The Coach agrees not to disclose any information pertaining to the Client without the Client’s written consent. The Coach will not disclose the Client’s name as a reference without the Client’s consent.
Confidential Information does not include information that: (a) was in the Coach’s possession prior to its being furnished by the Client; (b) is generally known to the public or in the Client’s industry; (c) is obtained by the Coach from a third party, without breach of any obligation to the Client; (d) is independently developed by the Coach without use of or reference to the Client’s confidential information; or (e) the Coach is required by statute, lawfully issued subpoena, or by court order to disclose; (f) is disclosed to the Coach and as a result of such disclosure the Coach reasonably believes there to be an imminent or likely risk of danger or harm to the Client or others; and (g) involves illegal activity. The Client also acknowledges his or her continuing obligation to raise any confidentiality questions or concerns with the Coach in a timely manner.
Termination of Agreement Either the Client or the Coach may terminate this Agreement at any time. Client agrees to compensate the Coach for all coaching services rendered through and including the effective date of termination of the coaching relationship.
Limited Liability Except as expressly provided in this Agreement, the Coach makes no guarantees, representations or warranties of any kind or nature, express or implied with respect to the coaching services negotiated, agreed upon and rendered. In no event shall the Coach be liable to the Client for any indirect, consequential or special damages. Notwithstanding any damages that the Client may incur, the Coach’s entire liability under this Agreement, and the Client’s exclusive remedy, shall be limited to the amount actually paid by the Client to the Coach under this Agreement for all coaching services rendered through and including the termination date.
If a dispute arises out of this Agreement that cannot be resolved by mutual consent, the Client and Coach agree to attempt to mediate in good faith for up to 30 days after notice given. If the dispute is not so resolved, and in the event of legal action, the prevailing party shall be entitled to recover attorney’s fees and court costs from the other party.
Severability If any provision of this Agreement shall be held to be invalid or unenforceable for any reason, the remaining provisions shall continue to be valid and enforceable. If the Court finds that any provision of this Agreement is invalid or unenforceable, but that by limiting such provision it would become valid and enforceable, then such provision shall be deemed to be written, construed, and enforced as so limited.
Waiver The failure of either party to enforce any provision of this Agreement shall not be construed as a waiver or limitation of that party's right to subsequently enforce and compel strict compliance with every provision of this Agreement.
Applicable Law This Agreement shall be governed and construed in accordance with the laws of the State of New York, without giving effect to any conflicts of laws provisions.
Binding Effect This Agreement shall be binding upon the parties hereto and their respective successors and permissible assigns.
I agree to all noted in this consent form, and hereby grant Marybeth Cale permission to provide coaching/training services through Estuary Leadership (Cale Consulting, LLC).