Consent & Agreement Spiritual Empowerment Coaching

Consent & Agreement Spiritual Empowerment Coaching

Please read and sign the following agreement. Upon submission, you will receive a .pdf of the agreement and signature via email attachment.
  • Please read this information carefully. The purpose of this Agreement is to set forth the details about Spiritual Empowerment Coaching so that you are clear as to the requirements, expectations, and the support you will receive as a client in the program.

    Welcome to Emotional Wellness and Crystal Lynn Bell, a professional Coaching practice. This Coaching Agreement (hereafter referred to as “The Agreement”) constitutes a contract between Crystal Lynn Bell (hereafter referred to as “The Coach”) and You (hereafter referred to as “The Client” or "you"). As The Client, you should read it carefully and raise any questions and concerns that you may have before you sign it.

    Services: The services provided by Crystal Lynn Bell include Coaching or TeleCoaching on topics decided jointly with you, The Client. The purpose of coaching is to develop and implement strategies to help you reach personally identified goals of enhanced performance and personal satisfaction. Coaching may address specific personal projects, emotional wellness, life balance, job performance and satisfaction, or general conditions in The Client's life, business, or profession. Coaching utilizes personal strategic planning, values clarification, brainstorming, motivational counseling, and other counseling and consulting techniques.

    Payment Procedure: The first coaching session will begin after this agreement is signed and emailed to The Coach and when the first payment is received by Paypal, credit/debit card (Visa and MC), cash or check. Services must be paid for in advance, or they cannot be provided. Services requested by The Client, in addition to regularly scheduled coaching sessions, will be billed at the prorated hourly rate agreed upon in The Agreement, as specified above, and will be immediately. Any changes to this procedure must be mutually agreed upon in writing and signed by both The Client and The Coach.

    Feedback: If, at any time, you, The Client, feel that your needs are not being met or you are not getting what you want out of the coaching or training group, please tell me, so we can discuss your needs and adjust your coaching program, as needed.

    Session Time: Coaching is scheduled at the mutual convenience of The Coach and The Client. The day and time for the next session will be determined at the beginning of each series of coaching sessions or each program; they may also be scheduled at the close of each coaching session.

    Session Procedure: If The Client opts to attend sessions by Zoom or by phone, The Client will call The Coach at the pre-arranged time with the link or telephone number as provided, and The Client pays any charges for their calls or use of internet service as indicated by their internet or phone service provider. For group coaching sessions, The Clients will pay individually pay for their own participation in the teleconference line as indicated by their individual providers.

    Cancellations: For individual Coaching clients, you must give twenty-four (24) hours prior notice via the booking link provided in the confirmation and reminder emails or you must email if you need to cancel or change the time of an appointment, otherwise you will be charged for the session in full. The Coach will make reasonable efforts to reschedule sessions which are cancelled in a timely manner.

    Termination: Either party may terminate the coaching relationship for any reason by providing the other party with a one-week written notice, which may be transmitted by email to

    Confidentiality: As a certified Spiritual Life Coach, it is my duty to protect the confidentiality of the communications with my clients.  The support staff of Everyday Zen, LLC includes individuals who provide administrative support and are trained in the HIPAA requirements for confidentiality. I, The Coach, will only release information about our work to others with your written permission or if I am required to do so by a court order. There are some situations in which I am legally obligated by Federal and State laws to breach your confidentiality in order to protect others from harm, including the following: (1) If I have information that indicates that a child, elderly or disabled person is being abused, I must report that to the appropriate state agency; and; (2) If a client is an imminent risk to him/herself or makes threats of imminent violence against another person, I am required to take protective actions. These situations rarely occur in coaching practices, but if such a situation does occur, I will make every effort to discuss it with you before taking any action. Some sessions are conducted in groups, including teleconference groups. You, The Client, agree to maintain the confidentiality of all information communicated to you by other coaching clients and by your Coach. It is understandable that progress is often enhanced when clients discuss their coaching relationship with trusted colleagues and friends. You can have these discussions with trusted colleagues and friends, but you agree not to share any information which would allow others in the group to be identified. The Client should be aware that it is impossible to protect the confidentiality of Client information which may be transmitted electronically, i.e., electronic mail and other information stored on computers connected to the internet, by cordless or mobile telephones and similar telecommunication and computer equipment. Therefore, it is agreed between The Client and The Coach that unless The Client utilizes encryption and other forms of security protection, The Client waives any action legal or otherwise against The Coach and holds The Coach harmless for any interception of Client information resulting from the use of the above-mentioned equipment.

    The Coaching Objective:  I, The Coach, adopt The International Coach Federation’s definition of coaching quoted in part which is as follows: Professional Coaching is an ongoing professional relationship that helps people produce extraordinary results in their lives, careers, businesses or organizations. Through the process of coaching, clients deepen their learning, improve their performance, and enhance their quality of life. Coaching accelerates the client’s progress by providing greater focus and awareness of choice. Coaching concentrates on where clients are now and what they are willing to do to get where they want to be in the future. Coaches recognize that results are a matter of the client’s intentions, choices and actions, supported by the coach’s efforts and application of the coaching process. You can expect that I, your Coach, will be honest and direct, asking straightforward questions and using challenging techniques to help you move forward. You are expected to evaluate your own progress; and, if the coaching is not working as you wish, you should immediately inform me, your Coach, so that we can both take steps to correct the problem. As with any human endeavor, coaching can involve feelings of discomfort and frustration which may accompany the process of change. Coaching does not offer any guarantee of success. Coaching services are not reimbursable by health insurance. It is understood and agreed to by The Client and The Coach that if either of us recognizes that you, The Client, have a problem that would benefit from some form of psychotherapy or other counseling service I, The Coach, may refer or direct you to appropriate resources in addition to or in lieu of Coaching. In some situations as a condition of my continuance as your Coach, I may strongly suggest that you enter psychotherapy or some form of counseling and that I have your consent to discuss matters which concern you with your psychotherapist. It is further understood that, as The Coach, I am not obligated to provide you, The Client, with psychotherapy services.

    Mutual Nondisclosure: The Coach and The Client mutually recognize that they may discuss The Client’s future plans, business affairs, customer lists, financial information, job information, goals, personal information, and other private information. The Coach will not voluntarily communicate The Client's information to a third party. In order to honor and protect the Coach's intellectual properties, The Client expressly agrees not to disclose or communicate any proprietary information about the Coach's practice, materials, or methods to any third parties. The Coach and The Client agree to be bound by this mutual nondisclosure agreement during and after the termination of the Coaching relationship.

    Dispute Resolution: It is agreed between The Client, his or her assigns, family and estate and The Coach that any controversy or claim arising out of or relating to The Agreement, or the breach of this agreement, shall be settled by arbitration by an accredited individual or organization with an arbitrator upon whom we mutually agree. And, the arbitration may occur by telephone. Your signature below, as The Client, acknowledges that you have read the information contained in The Agreement and Informed Consent; and indicates your assent to the terms of The Agreement; and signifies your assurance that you will abide by its terms during our professional Coaching relationship. The parties to The Agreement will hold copies of this document which have been signed and dated by you.