Coaching Agreement, Release & Waiver
Agreeing to the terms and conditions means that I understand and agree with the following statements:
In consideration of my receiving wellness coaching services from a Certified Wellness Coach, I do hereby waive, release, and forever discharge my coach, independent contractors, employees and all others from any and all responsibility or liability for injuries or damages resulting from my participation in any activities or my use of fitness equipment arising out of my participation in any activities under such coaching.
I understand that Penny Layton, Board Certified Health and Wellness Coach at Copper Pillars is neither a psychological or medical professional. The goal of coaching is to create a supportive alliance in which I can attain my own stated goals and become independent of the coach.
I agree that using any or every part of this wellness coaching service is entirely at my own risk. Wellness coaching services are provided “as is”, without warranty of any kind, either express or implied, including without limitation any warranty for information services, uninterrupted access, or products and services provided throughout the coaching alliance.
I understand that I may be coached in fitness, nutrition, weight management, stress management, emotional resilience, life visioning, overall preventative health, and health risk management. These services may be requested or rejected at my own free choice. I am free to discontinue coaching at any time or restart as desired.
Wellness coaching services are not meant to be a substitute for counseling or treatment of mental health problems. Wellness coaching is an excellent way to gather individualized information by which my own decisions can be made. I understand that my wellness coach is an independent contractor.
I do hereby further acknowledge that I have either had a physical examination and have been given a physician’s permission to participate or that I have decided to participate in activity and /or use of equipment and machinery without the approval of my physician and do hereby assume all responsibility and risks of injury or death from such participation and activities.
No assumption of responsibility is made, or given, and the party requesting such advice agrees not to hold the coach responsible or liable in any form or fashion, for such actions taken of their own accord. The method and process by which this advice and direction are given in no way would constitute an agreement or liability on the part of the provider and is acknowledged to be different in many ways than a one-on-one clinical or psychological counseling process.
We are very sensitive to the issue of confidentiality. Confidentiality is crucial to an effective and trusting coaching relationship. There are three situations, however, where it may be necessary for us to share certain information with others. By signing this agreement you authorize the health and wellness coach to share information with others in the following circumstances: When there is clear indication that someone may be harmed, or if there is serious threat to your own health or safety or that of others, or if your coach has reasonable cause to suspect the potential for harm to children.
I have read and understand all of the above, and accept the above agreement of release of liability and the terms of the agreement, release and waiver.