Personal Coaching Agreement (one-off 30-min sessions: Special Adjusted Plan)

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∙Refer to dates specified in your personalized welcome packet.

✔️1:1 personal coaching sessions scheduled on days/times convenient for you each week (one per week unless otherwise indicated)
✔️ Sessions may be in-person, via phone, or videoconferencing
✔️Exclusive Access to our members’ only portal
✔️Q&A availability
**Eligible for flexible payment plan

Any changes to the schedule will be documented.


∙$240 for series (4 coaching sessions/series)
Eligible for payment plan! (60 per investment)
+ Processing fees $2.30 per payment

Invoices must be addressed before coaching begins. Payment button is at the bottom of this form. If you’re not completely satisfied with our program within 14 days of your investment, you may email to tell us why you weren’t satisfied and we will issue a full refund.



  1. As a client, I understand and agree that I am fully responsible for my physical, mental and emotional well-being during my coaching calls, including my choices and decisions. I am aware that I can choose to discontinue coaching at any time.
  2. I understand that “coaching” is a professional client-centered, relationship I have with my coach that is designed to facilitate the creation/development of personal, professional or business goals and to develop and carry out a strategy/plan for achieving those goals.
  3. I understand that coaching is a comprehensive process that may involve all areas of my life, including work, finances, health, relationships, education and recreation. I acknowledge that deciding how to handle these issues, incorporate coaching into those areas, and implement my choices is exclusively my responsibility.
  4. I understand that coaching does not involve the diagnosis or treatment of mental disorders as defined by the American Psychiatric Association. I understand that coaching is not a substitute for counseling, psychotherapy, psychoanalysis, mental health care or substance abuse treatment and I will not use it in place of any form of diagnosis, treatment or therapy.
  5. I promise that if I am currently in therapy or otherwise under the care of a mental health professional, that I have consulted with the mental health care provider regarding the advisability of working with a coach and that this person is aware of my decision to proceed with the coaching relationship.
  6. I understand that information will be held as confidential unless I state otherwise, in writing, except as required by law.
  7. I understand that certain topics may be anonymously and hypothetically shared with other coaching professionals for training OR consultation purposes.
  8. I understand that results are indicative of my work and dedication and may vary from those of others.
  9. I will seek independent professional guidance for legal, medical, financial, business, spiritual or other matters if need be. I understand that all decisions in these areas are exclusively mine and I acknowledge that my decisions and my actions regarding them are my sole responsibility.
  10. All worksheets, information decks, written information, videos, and modules are the intellectual property of Say Life! Personal Coaching, LLC and I promise I will not share that with anyone outside the program.

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After submitting the form, scroll back down and click the ‘subscribe now’ button to complete enrollment in our personal coaching program