Enrollment in Coaching Application
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Full Name *
Email address *
Phone number *
What are the 3 professional goals you want to achieve in the next 12 months?
What are the biggest challenges you are facing right now professionally?
What is your current gross yearly income?
What is your gross income goal for your practice in 12 months?
What would you say have been your greatest professional accomplishments to date?
I am willing and able to participate fully for my success (5 = highest)
Clear selection
I am willing and able to do every assignment I receive from my coaches and mentors in the program... even if they're out of my comfort zone (5 = highest)
Clear selection
I am coachable and open-minded to new ideas to achieve success. (5=highest)
Clear selection
Briefly describe why you feel that you would be a good candidate for this program
By clicking the button below, you agree to the following enrollment agreement:

The following is a binding agreement between you ("enrollee") and Embracing Growth, LLC upon application to our Coaching Program. By applying to this program you indicate consent with this agreement whether you are accepted into the program or not.

By participating in the program, you agree that this program is provided as-is and without warrantee or guarantee and is for personal growth and personal development purposes only and is not subject to any laws governing professional mental health counseling in the state of Tennessee. You also agree to hold harmless and indemnify Jeff Bayne and Embracing Growth, LLC, all its employees, agents and servants against any and all claims and actions arising out of the participation in this program, including, without limitation, expenses, losses, judgments, fines, settlements and other amounts actually and reasonably incurred in connection with any liability, suit, action, loss, or damage arising or resulting from your participation in this program. While every precaution has been taken in the preparation and execution of this program, Jeff Bayne and Embracing Growth, LLC assume no responsibility for errors or omissions.

CANCELLATION AGREEMENT
From the date of application to ten days after enrollment: full refund available upon cancellation. After ten days from enrollment or from program start date forward (whichever comes first): no refund available upon cancellation for any reason

DEPOSIT DUE
A $50 USD deposit is due immediately with the enrollee's application to reserve evaluation of enrollee's application. No spot will be held without this deposit for any reason. If the enrollee is not accepted into the program or if the enrollee cancels in accordance with the Cancellation Agreement above, the deposit will be promptly refunded.

If the enrollee should default on any part of this agreement, enrollee will be dismissed from the program without warning and will forfeit any fees paid to the program.

INTELLECTUAL PROPERTY
I understand that the material presented during the program is the intellectual property of Embracing Growth, LLC and/or its contractors and agents and I will neither record, nor distribute, nor share the content or materials in any way without prior written consent from Embracing Growth, LLC.

JURISDICTION AND VENUE
The courts in the State of Tennessee, USA and the nearest U.S. District Court in the State of Tennessee shall be the exclusive jurisdiction and venue for all legal proceedings.

CONTROLLING LAW
This Agreement shall be construed under the laws of the State of Tennessee, USA, excluding rules regarding conflicts of law. The application the United Nations Convention of Contracts for the International Sale of Goods is expressly excluded.

SEVERABILITY
If any provision of these terms is declared invalid or unenforceable, such provision shall be deemed modified to the extent necessary and possible to render it valid and enforceable. In any event, the unenforceability or invalidity of any provision shall not affect any other provision of these terms, and these terms shall continue in full force and effect, and be construed and enforced, as if such provision had not been included, or had been modified as above provided, as the case may be.

FORCE MAJEURE
We shall not be liable for damages for any delay or failure of delivery arising out of causes beyond our reasonable control and without our fault or negligence, including, but not limited to, Acts of God, acts of civil or military authority, fires, riots, wars, embargoes, Internet disruptions, hacker attacks, or communications failures.

 

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