Nicci T. Real U - Client Transformation Coaching Agreement
 
I welcome you as a client.  I am excited to be partnering with you, and supporting you in your health, fitness and personal growth.  Please complete the following information and click submit so we can get started.
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Email *
Name (First, Last) *
Home Address *
Phone *
Birthday *
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DD
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Emergency Contact Name & Number *
Start Date *
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DD
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Height *
Weight *
Current activity level *
What's your 6 week goal? *
What's your 6 month goal? *
Describe your current eating habits?  Please try to be as detailed as possible. *
Do you have any medical conditions that will restrict you from working out? *
Fitness Days & Times *
Required
Fee Contract (By clicking on the box you understand this and agree to it.) *
Required
Disclaimer:  The client is aware that the coaching relationship is not psychological counseling or any kind of therapy.  Coaching does not treat illness or pathology.  The client is also aware that Coaching results cannot be guaranteed.  The client agrees that he/she is entering into coaching understanding that the Client is responsible for their own decisions and results.  The Client also agrees to hold the coach free from all liability for any actions or results for adverse situations created as a direct or indirect result of a referral or other advice given by the Coach.  Confidentiality: The Coach and Client recognize that the nature of the coaching relationship involves the passing of personal and business information that may be highly confidential. As such, the Coach agrees that, unless express permission is granted, all coaching calls and conversations and written communications remain completely confidential between the Coach and Client, except where prohibited by law.  The Client agrees to to the contract fee commitment and understands that the fee option selected above will be fulfilled completely.  By typing your name, you agree to this agreement. *
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