Journey of Opportunities
New Client - Company Form
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Email *
Employer and Employee Wellness 
Journey of Opportunities cc
Company Registration: 2009/023441/23
Banking details: First National Bank (FNB)
Account Number: 62354666334
Branch Code: 250 655
Company Name *
Company Registration Number *
List of Directors and ID numbers *
Contact details of the person responsible for the payment of the account *
Payment terms: 7 days after presentation of invoice *
Required
Other terms and conditions:  As a client we commit to respect the process and understand that each case presents it own challenges and that the outcome cannot be guaranteed. From my side as a counsellor, trainer/coach/mentor, I hereby give my heartfelt commitment and consent to fully assist you to attain your employee and employer wellness goals. *
Required
CONFIDENTIALITY: I note and understand that all interactions and records are confidential. *
Required
ETHICAL CODE: I note and understand that the therapist/counsellor agrees to uphold the code of the association under which it is registered.   *
Required
INDEMNITY: As a company we acknowledge that counseling/training and mentoring leads to changes and have certain risks attached to it, but we hereby agree not to hold the counselor/trainer or mentor liable for any perceived outcomes or intent to take any legal action action against him or her by ticking the YES box below. As a  counsellor/trainer or mentor, I acknowledge the same. *
Required
OTHER: We hereby commit to ensure that the employee/s will be on time for appointments/courses and cancel or reschedule within 24 hours. *
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