In consideration of being permitted to participate in career services offered by MomUp, LLC, theundersigned participant named below agrees:
1.There are social and emotional risks in participating in the above-mentioned activity. I fullyunderstand and acknowledge that there may be risks not known to us or are not reasonably foreseeableto us at this time.
2.I understand that coaching is a relationship I have with my coach, designed to facilitate the creation/development of my best life and how my coach can assist. I understand that coaching is acomprehensive process that may involve all areas of my life and could include work, diet, finances,health relationships, education, activities, and that deciding what to do in these realms is myresponsibility.
3.I understand that information I give to a MomUp coach is confidential unless I state otherwise inwriting. However, I understand that if I report abuse, neglect, or threaten to harm myself or someoneelse, necessary actions will be taken and my confidentiality agreement will not limit this capacity.
4.As a client, I understand and agree that I am fully responsible for my well-being during my coachingsessions, including my decisions and choices. I know that coaching is not psychotherapy, counseling, orany medical alternative. I understand coaching is not a substitute for counseling, psychotherapy, ormental health care providers, and will not use it in place of any form of therapy or medical advice.
5.I agree that I am well adjusted, mentally healthy, and ready for coaching. I agree I am 18 years of ageor older. It is my responsibility to consult my health care provider prior to participating in coaching withservices with MomUp. I accept full responsibility & waive all rights to liability or any claims againstMomUp and its coaches. I release MomUp from all liability, costs and damages which might arise fromany coaching activity.
6.I accept and assume such risks and responsibilities for the losses and/or damages following suchpsychological or physical injury, disability, paralysis or death, however caused and whether caused inwhole or in part by the negligence of MomUp LLC.
7.I am choosing to participate in career services with MomUp. Any suggested activities, exercises,meditations or reading material is just a suggestion. It is my choice to perform or read any suggestedmaterial and I do them at my own risk.
8.I further expressly agree that the foregoing release, waiver and indemnity agreement is intended tobe as broad and inclusive as permitted by the law of the Province or State in which the organization isconducting events and services and that if any portion is held invalid, it is agreed that the balance shall,notwithstanding, continue in full force and effect.
9.If, despite signing this release, I make a claim against MomUp LLC, I will reimburse MomUp for any/allattorney’s fees and any money which they have paid to me, or on his/her behalf, and hold themharmless.
10.I understand that I am responsible to pay coaching fees before sessions can be scheduled. I furtherunderstand that if I cancel with less than 24 hours’ notice before the agreed upon start time of coachingsessions, that such missed sessions will not be rescheduled.
11.Termination: Either the Client or the Coach may terminate this agreement at any time with writtennotice. Program payment is non-refundable at any time unless Coach and Client both agree to aseparate arrangement.
I HAVE READ THIS COACHING AGREEMENT AND RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT INDUCEMENT, ASSURANCE OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY, INCLUDING ANY NEGLIGENCE OF THE ORGANIZATION NAMED BELOW TO THE GREATEST EXTENT ALLOWED BY LAW.