Glow & Grace Coaching Agreement
This Agreement is between Glow & Grace Coaching, represented by Dr. Kiela M. Samuels (“Coach”), and ______________ (“Client”).
1. Coaching Relationship
The Coach agrees to provide coaching services designed to support the Client’s personal and professional growth through faith-centered coaching, reflection, goal setting, and accountability.
The Client agrees to actively engage in the coaching process and provide honest and timely feedback.
2. Coaching Sessions
Session Frequency and Duration:
The coaching package includes six sessions, each lasting approximately 45–60 minutes, to be completed within four months of the first session. Sessions will generally take place every other week, with scheduling adjustments agreed upon by the Coach and Client.
- Session Format:
Sessions will be conducted via Zoom unless otherwise agreed upon. - Scheduled Appointments and Rescheduling:
The Client agrees to attend scheduled sessions on time. To reschedule a session, the Client must notify the Coach at least 24 hours before the scheduled appointment. Within 24 hours of providing notice, the Client will contact the Coach to arrange a replacement appointment, subject to mutual availability. Replacement sessions must take place within the four-month program period unless both parties agree otherwise in writing.
3. Payment Terms and Refund Policy
Cost and Payment Schedule:
The total fee for the coaching package is $499, covering the six sessions and services outlined in this Agreement. The Coach and Client have agreed to the following payment:
Any changes to this payment schedule must be agreed upon in writing by both the Coach and Client.
Cancellation and Refund Policy:
The Client may end the coaching package by providing written notice to the Coach. Sessions already completed are nonrefundable.
For refund purposes, the per-session rate will be calculated by dividing the total package fee of $499 by six sessions. Calculations will use the unrounded per-session rate, with the final amount rounded to the nearest cent.
Any refund will equal the amount paid minus the cost of completed sessions and sessions counted as completed under the cancellation policy below. A refund cannot exceed the amount paid.
Sessions canceled with less than 24 hours’ notice, or missed without notice, will count as completed sessions unless the Coach agrees otherwise due to an emergency.
Upon termination, any remaining unpaid balance for unused sessions will be canceled. If the amount paid does not cover completed sessions or sessions counted as completed, the Client remains responsible for that difference. Eligible refunds will be issued within 14 calendar days of receiving written notice.
If the Coach ends the coaching relationship, the same calculation will apply to refund any payment for unused sessions. Sessions canceled by the Coach will not count as completed sessions.
4. Confidentiality and Session Recordings
Confidentiality:
The Coach will keep information shared during coaching sessions confidential, except when disclosure is required by law or authorized in writing by the Client.
Session Recordings:
Sessions will be recorded with the Client’s consent. By signing this Agreement, the Client consents to the recording of coaching sessions.
The Client will receive access to recordings of their sessions and accompanying summaries to review and track progress. The Coach and Client will have access to these materials. The Coach will not share recordings or summaries with others without the Client’s written permission, except when required by law.
The Client agrees not to record sessions independently or distribute recordings without the Coach’s written permission.
5. Client Responsibilities
Active Participation:
The Client agrees to actively participate in coaching sessions and complete mutually agreed-upon exercises or assignments.
- Honesty and Openness:
The Client agrees to communicate honestly about their goals, concerns, and obstacles encountered during the coaching process. - Timeliness:
The Client agrees to attend sessions on time and follow the scheduling and cancellation terms outlined in Sections 2 and 3. - Personal Responsibility:
The Client remains responsible for their decisions, actions, and progress throughout the coaching relationship.
6. Coach Responsibilities
Professionalism:
The Coach will provide services professionally and follow applicable ethical standards for coaching.
- Support and Accountability:
The Coach will offer support, guidance, and tools to help the Client work toward their goals. The Coach will provide constructive feedback and help the Client reflect on progress.
7. Scope of Coaching and Results
Although the Coach is a registered pharmacist, the services provided under this Agreement are coaching services. The Coach is not acting as the Client’s pharmacist, medical provider, or mental health therapist within this coaching relationship.
Coaching does not include medical diagnosis, treatment, medication management, psychotherapy, or mental health treatment. It is not a substitute for care from a qualified healthcare professional.
The Client should direct medical, medication-related, and mental health concerns to the appropriate healthcare professional.
Coaching is a partnership designed to support growth. Specific outcomes are not guaranteed, and results depend on the Client’s participation, decisions, and circumstances.
8. Termination of Agreement
Either party may terminate this Agreement by providing written notice to the other party. Coaching services will end upon termination.
Any refund or remaining payment obligation will be determined according to Section 3: Payment Terms and Refund Policy.
9. Final Feedback Survey
At the conclusion of the coaching program, the Client is asked to complete a final feedback survey. Participation is voluntary, and feedback will be used to improve the coaching experience.
10. Agreement Modifications
Any modifications or amendments to this Agreement must be made in writing and agreed upon by both the Coach and Client.
Signatures
By signing below, the Coach and Client acknowledge that they have read, understand, and agree to the terms of this Agreement, including the payment schedule, cancellation and refund policy, and consent to session recording.
Client Printed Name: ____________________________________
Client Signature: _______________________________________
Date: ____________________
Coach Printed Name: Dr. Kiela M. Samuels
Coach Signature: ________________________________________
Date: ____________________