1 1 “Worthy of Love” Relationship and Life Coaching Agreement Coaching Contract "Worthy of Love" Relationship and Life Coaching 1.As a client, I understand and agree that I am fully responsible for my physical, mental, and emotional well - being during my coaching sessions, including my choices and decisions. I am aware that I can choose to discontinue coaching at any time. 2. I understand that coaching is a Professional - Client relationship I have with my coach that is designed to fac ilitate the creation/development of personal, professional, or business goals and to develop and carry out a strategy/plan for achieving those goals. 3. I understand that coaching is a comprehensive process that may involve all areas of my life, including work, finances, health, relationships, education, and recreation. I acknowledge that deciding how to handle these issues, incorporate coaching into those areas, and implement my choices is exclusively my responsibility. 4. I understand that coaching does not involve the diagnosis or treatment of mental disorders I understand that coaching is not a substitute for counseling, psychotherapy, psychoanalysis, mental health care or substance abuse treatment and I will not use it in place of any form of diagnosis, treatment, or therapy. If I am currently receiving psych iatric care, I will consult with my caregiver to ensure working with a coach is in my best interest at this time. 5. I understand that information will be held as confidential unless I state otherwise, in writing, except as required by law. I understand that if I reveal information that involves physically hurting myself or others, the coach must report such information and/or refer to mental health professionals accordingly. 6. I understand that certain topics may be anonymously and hypothetically shared with other coaching professionals or clients for training, educational OR consultation purposes and that Kristina Jay Jakimaviciene will take great care to change any identifi able details to protect my privacy. 7. I understand that coaching is not to be used as a substitute for professional advice by legal, medical, financial, business , or other qualified professionals. I will seek independent professional guidance for legal, medical, financial, business , or other matters. I understand that all decisions in these areas are exclusively mine and I acknowledge that my decisions and my actions regarding them are my sole responsibility. 8. Because professional coaching is not consi dered medical consultation or treatment, health insurance does not apply. I have read and agree to the above. Client ’s Signature___________________________________________________ Date_______________________________________________________ 2 2 “Worthy of Love” Relationship and Life Coaching Agreement This Agreeme nt is entered into by and between: Relationship and Life Coach : _____________________________________________________________ Address: _____________________________________________________________ Phone: ________________________________________________ _____________ E - mail: _____________________________________________________________ A nd C lient : Address: _____________________________________________________________ Phone: _____________________________________________________________ E - mail: _____________________________________________________________ Wherea s the Coach agrees to provide Services for Coaching to Client , Whereas the Parties intend to create a collaborative relationship , Whereas the Parties understand that such relationship is not legally binding , Now, wherefore, considering the foregoing premis es, the parties agree as follows: 3 3 “Worthy of Love” Relationship and Life Coaching Agreement Description : This Agreement is a non - legal partnership with the intention of inspiring the Client that supports establishing a strength - based and collaborative relationship that maximizes the Client's potential for achieving the latter's goals. Services The Parties agree that this Agreement constitutes an engagement in a Coaching Services whereby coaching shall be conducted via: Online/ Video conferencing In person/Physical meeting Ph one Call Other Relationship The Coach shall maintain a professional relationship with the Client conforming with proper ethics and standards established by the International Coach Federation “(ICF)” ( ht tps://coachfederation.org/ethics ). Client's progress for developing his/her physical, mental, and emotional well - being, the acts and decisions shall be his/her own responsibility. The Coach shall only support, assist, and help the Client with the realizations for those choices. The Coach shall not be responsible for any acts or omissions which may have direct or indirect results of the services provided by the Coach. The Client understands the Coach is not a therapist and shall not substitute for a ny cure for the mental or medical disorder. Client acknowledges that this Agreement does not involve the diagnosis or treatment of emotional disorders, neither this Agreement may be used as a substitute for counseling, psychotherapy, legal advice, or other professional advice by other qualified professionals. In order , for the coaching relationship to be fruitful, the Client must communicate honestly and must be open to feedback and constructive criticism. 4 4 “Worthy of Love” Relationship and Life Coaching Agreement Fees This Agreement indicates that a client wi ll be ready to pay the following amounts, depending on the type of session or package the client chooses. Choosing from: Laser coaching 15min - 29.99 CAN 30 min session - 50.00 CAN 45 min session - 70.00 CAN 1 hour session - 90.00 CAN P ackages described bellow: Packages 30min 45min 1hour 4 sessions package 169.00 CAN (Saving 31.00 CAN ) 249.00 CAN (S aving 31.00 CAN) 309.00 CAN (Saving 51.00 CAN) 6 sessions package 259.00 CAN (Saving 41.00 CAN ) 379.00 CAN (S aving 41.00 CAN) 479. 00 CAN (S aving 61.00 CAN) 12 sessions package 489.00 CAN (Saving 111.00 CAN ) 699.00 CAN (Saving 141.00 CAN) 899.00 CAN (Saving 181.00 CAN) Procedure Client shall set an appointment with the Coach through text, email, or through any means agreed upon by the Parties setting the scheduled date and time, and venue if any. Client shall initiate the call on a scheduled meeting through online or phone communication where the information shall be provided to Client. Confidential ity The information exchanged whether written or oral shall be bound within the principles of confidentiality set forth in the ICF Code of Ethics. The Coach agrees not to disclose any information pertaining to the Client without the Client’s written consen t. Confidential Information shall consist of private communication between the Parties given by the Client to Coach in trust and confidence. However, if the information refers to information given by a third - party, general information known to the public, inf ormation independently developed by the Coach without reference to Client's other information, such information shall be referred to as confidential Information. Should in any case that the Coach be summoned by any competent authority to disclose informati on that is confidential, the Coach shall notify the Client prior the summoning, in order for the Client to seek other remedies available in accordance with the law. In case the Coach believes 5 5 “Worthy of Love” Relationship and Life Coaching Agreement that the information acquired involves illegal activity or infor mation that may be of risk to the Client, the Coach shall be obligated to report such activity to proper authorities. Cancellation and Rescheduling It is the Client's responsibility to notify the Coach 24 hours prior to the scheduled meeting about reschedu ling or canceling the appointment. The Coach reserves the right to bill the Client for a missed meeting. Coach will not reschedule no - shows. Because coach is holding an appointment for you and will be unable to fit another client in with less than 24 hour s notice, a 50 CAN dollars fee will be charged for sessions canceled at the last minute. Emergencies are an exception. Record Retention The Client acknowledges that the Coach may retain the records in his/her possession, including documents and other data referring to the Client for ten (10) years after the termination of this Agreement. Limited Liability Except as provided for under this Agreement, the Coach shall not be held liable to any direct or indirect consequence resulting from any causes of injury or damage which the Client may incur that may be contemplated under this Agreement. Entire Agreement This Agreement contemplates understanding of the Parties hereto with respect to the subject matter. This Agreement supersedes any, and all other prior agr eements. Separability Clause In the event, that any provision of this Agreement is held invalid or unenforceable by competent court or authority, such invalidity shall affect only the specific provision and the remaining provisions shall remain valid and e nforceable. Waiver The failure of either party to claim or enforce their rights from any of the provisions found in this Agreement shall not constitute a waiver. Only waivers expressed in writing and signed by both Parties shall be considered as having bee n waived by the said Party. In Witness whereof, the parties hereto sign this Agreement. Client’s name: ______________ Coach’s name __________________ Client’s signature: ____________ Coach’s signature _________________ Date: _____________________ Date: __________________ 6 6 “Worthy of Love” Relationship and Life Coaching Agreement How We Will Work Together It’s an honor to be working with you in this way and I look forward to our coaching relationship! This is a co - creative relationship. I see us as equals and I encourage you to do the same. I am not a therapist, counselor , or consultant. I am a trained coach, using practiced communication and listening skills to support you as a detached thinking partner. Together we create more power for you to effect meaningful change and take dynamic actions towards your forward movement. Please understand, that if you’re seeking to change something about yourself, it takes time. Most of my clients feel a positive shift as soon as the very first session. Unfo rtunately, that typically doesn’t last as many of the thought and behavior patterns we develop are from as far back as childhood and are deeply rooted. It takes time for building new neural pathways in our brain. We will be working on new ways of reacting, responding , and perceiving your life If you’re serious about change, decide to make a commitment to coaching. Depending on your situation, the following are typical choices people make for series of sessions: Weekly sessions for 1 - 3 months (recommen ded if you’re seriously struggling with a major life/work/emotional situation) Sessions every 2 - 3 weeks for 3 months (recommended for those who have a general feeling of being stuck and/or unfulfilled personally or professionally and are committed to forward movement.) Monthly sessions (recommended for those looking to make ta rgeted changes or continue the work they have started during the more frequent series of sessions.) A session every few months (recommended for those looking to touch base, connect and maintain their momentum by continuing to challenge themselves.) Y our Role Make our coaching sessions a priority. You have chosen to invest in yourself. Please take time before each session to complete and email the session prep questions that I will provide you by email. Use it as a template to create a new email for your responses for further appointments. The most crucial part is for you to have an idea of what you’d like to take away from the session. Coaching is strongly based on the clien t’s agenda. 7 7 “Worthy of Love” Relationship and Life Coaching Agreement Please arrive to every session on time. Come to your session centered and be open - minded. Be willing to change your beliefs and patterns if they do not serve you anymore. Give me feedback in the moment , about your coaching experience – what works as well as what doesn’t. Do not ever worry about hurting my feelings or fear what I might think. I am here to support you , not judge you , or make decisions for you. If something I say does not resonate with you, I want to know about it. My R ole I will listen closely to you, respond to what I hear and ask questions. If I hear something in your voice or body language that sparks an intuitive idea, thought or image, I’m likely to share it and ask you questions about it. Often it is these sma ll nuances that create the bigger shifts for clients. Remember, if it doesn’t resonate, tell me. I’m not attached to being right. At the end of the session, if you do not mention what actions you are ready to take, I will make a coach request. I ask cl ients to stretch themselves, deepen the work done in the sessions by either journaling at home, working in the workbook pages, taking a defined action, resolving relationships , or tackling things that feel incomplete. You are free to negotiate, accept or d ecline. Most of the work will be in regards to self - awareness , and powerful choice. Extra Time Between sessions, if you have questions, a brief update, or want to bounce some ideas around, please contact me by email. Please keep these contacts brief and clear expressed . If it seems like it will be better served as session material, I’ll suggest that. I’m looking forward to our coaching relationship! Kristina Jay Jakimaviciene Relationship, Life Purpose, Confidence and Happiness Life Coach