Amber Collins Holistic Health Program Agreement

This Agreement is entered into by and between Amber Collins (the Coach) and the persons submitting this form (the Client). The Coach and the Client agree to enter into the coaching services and professional relationship specified in this document.

COACH-CLIENT RELATIONSHIP

1. The Coach acknowledges that the Client is the expert in navigating their own life, based on personal preferences and experiences.
2. The Client is solely responsible for decisions, actions, choices, lifestyle changes, and results throughout the Coaching Program (the Program).
3. The Client acknowledges that the Coach acts as a facilitative partner and that the Coach’s primary role is not that of a content expert or educator or to diagnose, advise, or instruct the Client on what to do.
4. The Client agrees to communicate honestly and dedicate their time and energy to participating fully in the Program.

SERVICES

The parties agree to engage in the Program, which includes the following:

1. 12 coaching sessions of 60 minutes each
   1. Sessions are biweekly for no more than a total of 6 months through virtual meetings

SCHEDULING

The time of the coaching meetings and/or location will be determined by the Coach and the Client based on a mutually agreed upon time. Each session will end 60 minutes minutes after it’s scheduled to begin.

The Program begins on the date of this agreements signature and ends after 12 sessions or six months from the signature of this agreement, whichever occurs first.

This Program expires if total amount of sessions have not been completed within 30  days after the End Date specified above based on the start date of this agreement. The Client understands that any unused sessions after this period are considered expired and will be forfeited.

SESSION CANCELLATION POLICY

If the Client needs to cancel or reschedule the appointment, the Client must do so 24 hours in advance; otherwise, the Client will forfeit that session and will not have an opportunity to reschedule it.

Sessions are 60 minutes from the scheduled start time of the session. If the Client does not show to the call within the first 5 minutes of the call and has not provided notice of running late, the call will be cancelled and forfeited. Calls will end at the scheduled time after 60 minutes so running late will reduce the amount of time in the call accordingly.

PROGRAM FEES

The Program fee is $99 per month for 6 months for a total cost of $594. Payments of $99 shall be debited automatically with recurring payments until the balance is paid in full. Payments will be automatically drawn each month on the date of the initial payment.

The pricing in this agreement does not include any discount applied at checkout which may take precedence over the pricing outlined in these terms. Discounts are provided at the discretion of Amber Colling Holistic Health LLC and may be validated or revoked for any reason.

Payment Method & Program Fee
[X] Credit or Debit Card
[X] Payment plan: 6 payments of $99 - $594 total
[X] Automatic draft, recurring monthly payment

PROGRAM CANCELLATION POLICY & APPOINTMENT NO SHOWS
In the event of the Client’s absence or withdrawal, for any reason whatsoever, the Client will remain responsible for the pro rata share of the Program that has been delivered, plus a cancellation fee of the remaining balance of the program due at the time of cancellation. 
- E.x. If a client wants to cancel on month 3 of the program, the remaining balance of $99/month over the remaining 3 months is $297 which is due at the time of cancellation.

No-showing a scheduled session will be considered forfeiture of the program and cancellation by the Client. Remaining program balance will be billed at this time.

The Coach reserves the right to cancel the Program if at any point the Coach feels it’s not advantageous for the Program to continue. If this happens, the Client is responsible for the pro rata share of coaching services received. The Client is not responsible for unused sessions if the Coach terminates the program due to the Coach feeling it is not advantageous to continue.

The Client understands that a session can be rescheduled by providing a written notice to the Coach 24 hours in advance. The Client understands that by not providing a written notice 24 hours in advance, the scheduled session will count as one of the planned sessions and will be considered a no-show. This credit cannot be reclaimed and the session will be forfeited.

Refunds
The Client understands that there are no refunds under any circumstances.

DISCLAIMERS 
The Client understands that the role of the Health Coach is not to prescribe or assess specific meal plans; provide healthcare, medical, or nutrition therapy services; or diagnose, treat, or cure any disease, condition, or other physical or mental ailment of the human body. Rather, the Coach is a mentor and guide who’s been trained in health coaching and behavioral change to help clients reach their own health goals by helping clients devise and implement positive, sustainable lifestyle changes. 

The Client understands that the Coach is not acting in the capacity of a doctor, dietitian, nutritionist, psychologist, psychotherapist, or other licensed or registered professional, and that the Program is not intended to replace services performed by these professionals. 

The Client acknowledges that, if under the care of healthcare professionals, the Client should discuss any dietary changes or potential dietary supplement use with those professionals. If the Client currently uses prescription medications, the Client should not discontinue any prescription medications without first consulting the Client’s prescribing healthcare provider.

The Client has chosen to work with the Coach and understands that coaching services, including any information or resources received, are not medical advice nor meant to replace services delivered by licensed health professionals.

PERSONAL RESPONSIBILITY AND RELEASE OF HEALTHCARE-RELATED CLAIMS
The Client acknowledges that the Client takes full responsibility for the Client’s life and well-being, as well as the lives and well-being of the Client’s family and children (where applicable), and all decisions made during and after the Program.
The Client expressly assumes the risks of the Program, including the risks inherent in making dietary and/or lifestyle changes. The Client releases the Coach from any and all liability, damages, causes of action, allegations, suits, sums of money, claims and demands whatsoever, in law or equity, which the Client ever had, now has, or will have in the future against the Coach, arising from the Client’s past or future participation in, or otherwise with respect to, the Program, unless arising from the gross negligence of the Coach.

CONFIDENTIALITY
The Coach will keep the Client’s information private and will not share the Client’s information with any third party without the Client’s written consent unless required by law. The Coach will not disclose the Client’s name as a reference or for use in any marketing materials without the Client’s written consent.

ARBITRATION, CHOICE OF LAW, AND LIMITED REMEDIES
In the event that there ever arises a dispute between the Coach and the Client with respect to the services provided pursuant to this Agreement or otherwise pertaining to the relationship between the parties, the parties agree to submit to binding arbitration before the American Arbitration Association (Commercial Arbitration and Mediation Center for the Americas Mediation and Arbitration Rules). Any judgment on the award rendered by the arbitrator(s) may be entered in any court having jurisdiction thereof. Such arbitration shall be conducted by a single arbitrator. The sole remedy that can be awarded to the Client in the event that an award is granted in arbitration is a refund of the Program Fee. Without limiting the generality of the foregoing, no award of consequential or other damages, unless specifically set forth herein, may be granted to the Client.

This Agreement shall be construed according to the laws of the State of Texas. In the event that any provision of this Agreement is deemed unenforceable, the remaining portions of the Agreement shall be severed and remain in full force.

If the terms of this Agreement are acceptable, please sign the acceptance below. By doing so, the Client acknowledges that: (1) the Client has read through a copy of this letter Agreement; (2) the Client has had an opportunity to discuss the contents with the Coach and, if desired, to have it reviewed by an attorney; and (3) the Client understands, accepts, and agrees to abide by the terms hereof. 
The terms of this signature shall be binding to The Client and The Coach in agreeance with the esignature consent below.

Sign Below

ESIGNATURE CONSENT
I understand that by submitting this form I am utilizing an esignature that is binding and valid in the same way as a physical signature. By submitting my information on this form I am accepting the terms of this program agreement.