Thank you for booking your appointment with Live Free Coaching & Consulting, I’m excited to work with you! Please take a few minutes to fill out the Client Forms. All of the information you input here will help me to provide you with the best possible experience.

 

Each form will give you a confirmation upon pressing submit. The form will disappear, and the next form will replace it. There are 5 forms in total, and you’ll know you’ve filled them all out when there are none left on the page.

Client Information

Your First Name
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Your Last Name
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Your Phone Number
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Your Address
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City
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Zipcode
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Your E-mail Address
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Your Education
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Your Occupation
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Your Employer's Name
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Your Relationship Status
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Your Significant Other's Name (if applicable)
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Name(s) of Child(ren) and ages (if applicable)
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ACKNOWLEDGEMENT AND RELEASE OF LIABILITY

All coaching services and communication, email or otherwise, delivered by Live Free Coaching & Consulting as well as information on this website livefreelifecoach.com are meant to help you gain clarity, motivation and encouragement.

However, coaching is not professional mental health care or medical care. If you feel psychologically stressed to the point that it is interfering with your ability to function, please have the courage to seek the help you need in the form of a professional counselor. Coaching may augment your therapy, but the work of coaching is meant to be done when major emotional and psychological wounds are already healing or healed.

In that spirit, by purchasing coaching services from your Coach, you confirm that you have read and agreed to each statement and that you wish to proceed:

I understand that the coaching services I will be receiving from my Coach are not offered as a substitute for professional mental health care or medical care and are not intended to diagnose, treat or cure any mental health or medical conditions. I also understand that my Coach is not acting as a mental health counselor or a medical professional.

I understand that my Coach is not licensed by any internationally recognized coaching regulator. I also understand that for all legal purposes, the services provided by my Coach will be considered to be provided from any remote location worldwide or otherwise in the United States.

I understand and agree that I am fully responsible for my well-being during my coaching sessions, and subsequently, including my choices and decisions.

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 therapy.

I understand that all comments and ideas offered by my Coach are solely for the purpose of aiding me in achieving my defined goals. I have the ability to give my informed consent, and hereby give such consent to my coach to assist me in achieving such goals and aims.

I understand that to the extent our work together involves career or business, my Coach is not promising outcomes including (but not limited to) increased clientele, profitability and or business success.

I understand that my Coach will protect my information as confidential unless I state otherwise in writing. If I report child, elder abuse or neglect or threaten to harm myself or someone else, I understand that necessary actions will be taken and my confidentiality agreement is limited in this capacity. Furthermore, if my Coach is ordered by a court to provide information or to testify, they will do so to the extent that the law requires.

I understand that the use of technology is not always secure and I accept the risks of confidentiality in the use of email, text, phone, Zoom and other technology.

I hereby release, waive, acquit and forever discharge my Coach, any agents, successors, personal representatives, executors, heirs, assigns and employees from every claim, suit action, demand or right to compensation for damages I may claim to have or that I may have arising out of acts or omissions by myself or by my Coach as a result of the advice given by my Coach or otherwise resulting from the coaching relationship contemplated by this agreement. I further declare and represent that no promise, inducement or agreement not expressed in this agreement has been made to me to sign this agreement. This agreement shall bind my heirs, executors, personal representatives, successors, assigns, and agents.
Your First Name
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Your Last Name
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Your E-mail Address
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Please sign here
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Client Agreement

Hello! I am very excited about working together with you in a coaching relationship. This letter outlines our AGREEMENT between Live Free Coaching & Consulting (Live Free) and you, the above named Client.

Individual appointments are $80 per one hour session. Discounted monthly rates are available for $300 per monthly package of 4 individual sessions. Group coaching opportunities are occasionally available at a savings of 50% per one hour session. Each group session is available for $40 per individual. All fees are subject to state tax.

The services to be provided by Live Free are coaching or tele-coaching, as designed jointly with you. Coaching — which is not advice, therapy or counseling — may involve all areas of your life, including work, finances, health, relationships, education and recreation. You acknowledge that deciding how to handle these issues and implement your choices is exclusively your responsibility.

Coaching does not treat mental disorders as defined by the American Psychiatric Association. You understand that coaching is not a substitute for counseling, psychotherapy, psychoanalysis, mental health care or substance abuse treatment, and you will not use it in place of any form of therapy. You promise that if you currently are in therapy or otherwise under the care of a mental health professional, that you have consulted with this person regarding the advisability of working with a coach and that this person is aware of your decision to proceed with the coaching relationship. You understand that feelings are a normal and healthy part of being human and that through a coaching relationship, awareness and curiosity will be brought to your feelings so that you can make more informed choices and move into your desired action. You understand that coaching does not deal with the psychological antecedent to emotions, which is the realm of therapy.

Live Free promises that all information shared by you will be kept strictly confidential, except when releasing such information is required by law. I do reserve the rights to seek second opinions from other certified coaches or professionals if I deem it necessary.

Throughout our working relationship, we will engage in very direct and personal conversations. You can count on me to be honest and straightforward, ask clarifying questions and make empowering requests. The purpose of our interaction is to hold your focus on YOUR desired outcome and to coach you to stay clear, focused and in action. You understand that the power of the coaching relationship can only be granted by you — and you agree to do just that. If you see the coaching is not working as desired, you agree to communicate with me and take actions to return the power to the coaching relationship.

By signing below, you agree to keep your commitments, to regard our appointment time frames with respect and to keep me informed as to what is needed to keep you moving forward. Our signatures on this agreement indicate full understanding and agreement with the information outlined above.

Sybil Brun

Your First Name
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Your Last Name
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Select a date
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Coaching Logistics

Welcome! I am delighted to be your coach and look forward to supporting you in creating the career and life that you envision. Here is some important information that will ensure our coaching logistics run smoothly, so that we can focus on your forward progress. If you have any questions or comments regarding these, please let me know so we can discuss them further.

Commitment:
I trust you are hiring me as your coach because you want to create significant forward momentum in your life. As your coach, I am 100% committed to you being successful and having the career and life you envision. If, at any time, our coaching isn’t as productive as you you’d like or you want to make changes in how we work together, please let me know.

Sessions:
I primarily run coaching sessions remotely, but I am available for limited in person appointments in my local area. You can also choose a combination of virtual and in person appointments, if applicable. I value flexibility and adaptability so I will always do my best to work with you to meet your needs.

Schedule Changes:
Should you need to change your appointment time in any given week, I will do my best to reschedule during that week. Please note that I have a 24 hour cancellation policy. Missing an appointment without 24 hour advanced notice is considered a paid appointment, so you will be charged as such. That said, if you have an emergency, we will work around it. If I were to experience an emergency or some other schedule change myself, you will be informed as soon as possible so we can rebook our appointment.

Payments:
Payment is always due in advance to secure your session. Time slots are not considered booked until they have been paid for. All payments will be made on my website, along with forms completed, at the time of online booking.

Support between Sessions:
Please let me know if this is something you desire, as I have asynchronous, online coaching programs available upon request to provide further support between sessions.

Problems:
If something ever doesn’t feel right with our coaching, please bring it to the session. We will always maintain a warm and approachable dynamic with full disclosure and vulnerability.
Your First Name
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Your Last Name
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Select a date
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Primary Focus

Identify 3-5 areas that you want held as your main focus during our coaching partnership. For each focus area, provide a simple heading and underneath, a description of that measurable result.

For Example:
Live my life so that at the end of it, I have no regrets. That means I am clear about my values and what is most important and then develop goals and take actions that reflect them.

Get clarity about the direction I want to take my career. I will narrow down some concrete steps to moving in that direction.
Goal 1
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Goal 2
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Goal 3
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Goal 4
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Goal 5
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