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  • WELCOME to your PROGRAM AGREEMENT

  • It is a pleasure to welcome you and I look forward to working together!

    During the next four months, we will work together to meet the goals you have and determine for yourself and the areas of your life you want to shift.

    Please read the following and complete the necessary information. If anything is unclear, please ask. I appreciate the opportunity to work with you.

    This Agreement is made today between the Coach of the Program (the "Coach"), and the person named at the end of this document (the "Client"). The Program in which Client intends to enroll (the "Program") will include all of the following:

    A.     Two one-hour appointments each month for four months (or four 30-minute appointments), which will include discussion of your progress and recommendations from me

    B.     A ‘curriculum’ of any relevant handouts, including recipes and other materials

    C.     Text and email communication as needed by the client for follow-up and ongoing support between sessions; Coach will respond to email or text message with 48 hours or as available

  • SCHEDULING

    Coach understands that his clients have busy schedules and the Coach takes pride in not keeping Client waiting and not keeping Client longer than planned. Each of the sessions will be scheduled in advance and end an hour after it was scheduled to begin. Coach suggests that Client please be on time for each session. If Client or Coach needs to cancel or reschedule an appointment in the event of an emergency, Client will do so 24 hours in advance; otherwise, Client will forfeit that appointment and not have an opportunity to reschedule it.

    **This Program expires if all sessions have not been completed within two months after the End Date specified below.

  • Session scheduling

    Please read and complete.
  • PAYMENTS AND REFUNDS

    Client understands that the regular cost of the Program is $1600* for 4 months. In order to assist Clients to afford this Program, Client may pay for Program Fee in three installments via Paypal. In this good faith agreement of flexible payment and waived consult fee, all payments must be received on or before dates indicated according to terms of invoicing.

    *Client may opt to pay in full for an additional $100 discount.

  • In the event of Client’s absence or withdrawal for any reason whatsoever, Client will remain fully responsible for the unpaid balance of the Program. Under no circumstance will Coach refund any payments made by Client. By signing this Agreement, Client agrees to be legally obligated to pay the full amount of this Program.

    DISCLAIMER OF HEALTH-CARE RELATED SERVICES

    Coach encourages Client to continue visiting and be treated by Client’s healthcare professionals, including, without limitation, Client’s physician. Client understands that Coach is not acting in the capacity of a doctor, licensed dietician-nutritionist, massage therapist, psychologist or other licensed or registered professional. Accordingly, Client understands that Coach is not providing healthcare, medical or nutrition therapy services and will not diagnose, treat or cure in any manner whatsoever, any disease, condition or other physical or mental ailment of the human body.

    Client has chosen to work with Coach and understands that the information received should not be seen as medical or nursing advice and is certainly not meant to take the place of Client’s seeing licensed health professionals.

    PERSONAL RESPONSIBILITY AND RELEASE OF HEALTH-CARE RELATED CLAIMS

    Client acknowledges that Client takes full responsibility for Client’s life and well-being, as well as the lives and well-being of Client’s family and children (where applicable), and all decisions made during and after this Program.

    Client expressly assumes the risks of the Program, whether or not such risks were created or exacerbated by Counselor. Client releases Coach, his/her heirs, executors, administrators and assigns, any of Coach’s officers, directors, shareholders, employees, teachers, lecturers, agents, health counselors and staff (collectively, "the Releasees") from any and all liability, damages, causes of action, allegations, suits, sums of money, claims and demands whatsoever, in law, admiralty or equity, which against the Releasees, Client ever had, now has, or will have in the future against the Releasees, arising from Client’s past or future participation in, or otherwise with respect to, the Program, unless arising from the gross negligence of the Releasees.

    CONFIDENTIALITY

    Client acknowledges that Coach will keep all information exchanged during the program sessions in strict confidence. Additionally, Client is aware that Coach is prohibited from disclosing protected healthcare information, except upon written authorization by the client.

    CHOICE OF LAW, ARBITRATION AND LIMITED REMEDIES

    This Agreement shall be construed according to the laws of the State of [MA]. 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. In the event a dispute arises between the parties, either arising from this Agreement or otherwise pertaining to the relationship between the parties, the parties will submit to binding arbitration before the American Arbitration Association (Commercial Arbitration and Mediation Center for the Americas Mediation and Arbitration Rules). Such arbitration shall be conducted by a single arbitrator. Any judgment on the award rendered by the arbitrator may be entered in any court having jurisdiction thereof. The sole remedy that can be awarded to Client in the event that an award is granted in arbitration is 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 Client.

    By signing the acceptance by filling in the fields below, the Client acknowledges that: (1) Client has received a copy of this Agreement; (2) Client has had an opportunity to discuss the contents with Coach and, if Client desires, to have it reviewed by Client’s attorney; and (3) Client understands, accepts and agrees to abide by the terms hereof.

  • Coach name: Dillan DiGiovanni

    Signature: DILLAN DIGIOVANNI
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