Success From The Inside Out

Client Coaching Agreement

Client's Full Name

Address

Email Address

Phone Number

Date

This agreement sets forth the expectations and standards that both client and coach expect during the coaching relationship. Policies and expectations are outlined below. Once you have reviewed this form, please sign the bottom and return it to me for your file.

The Client and Coach Relationship

As the Client's Life Coach, Dina with Dina Brady Coaching, LLC will partner with the Client on a journey of self-discovery, accountability, and progress sessions. The Coach will help the Client discover within themselves the beliefs, explanatory styles, or issues that are blocking the Client from moving forward in achieving their goals.

The Coach operates from a particular coaching model; however, it is the responsibility of the Client to follow through with implementing the practices and suggestions set forth between Coach and Client to get results.

Client agrees to communicate honestly, be open to feedback and assistance, and create the time and energy to participate fully in the program.

Packages

Please select the coaching package you are enrolling in:

Silver – 6 Sessions $1,080

Gold – 12 Sessions $2,100

Platinum – 24 Sessions $3,960

Annual – 48 Sessions $7,680

Couples – 10 Sessions $2,500

Ask about Group Coaching, breathwork, workshops, and global retreats.

Cancellation of Appointments

There is a $75 cancellation fee in the event the client cancels less than 24 hours prior to their scheduled session.

Scheduling Sessions

Regular coaching sessions will be delivered by meeting at a specific time and place agreed upon by both Client and Coach. Coaching sessions will last for 55 minutes, or as agreed upon at the time of scheduling, and are billed at the rates identified in Section 2. Payments are made prior to sessions.

Your coach will always try to accommodate your needs and schedule. You can call between 9:00 AM – 5:30 PM, text, or email to schedule an appointment.

Confidentiality

The Client's identity, relationship, and content of the sessions are strictly confidential except in a situation where such confidentiality would violate the law or cause harm.

Payment Method & Refund Policy

Invoices are sent out via SQUARE unless the client arranges to pay with cash or bank transfer/ZELLE.

Refund Policy: Dina Brady Coaching, LLC does not offer refunds for unused sessions. Packages are constructed in a way to keep clients committed to their personal growth.

Client Initials — I have read and understand the Refund Policy:

Liability

The client agrees and understands that Dina Brady Coaching, LLC is not a medical or physiological professional. Coaching is not a substitute for counseling and should not be used in place of clinical therapy. If a situation arises where medical or psychological intervention is needed, Dina Brady Coaching, LLC is ethically and legally bound to refer the Client to a mental health or medical professional.

Client Initials — I have read and understand the Liability clause:

Disclaimer of Guarantee & No Guarantee of Results

The Coach has made every effort to accurately represent the coaching program and its potential. However, the Client acknowledges and agrees to the following:

Dina Brady Coaching, LLC cannot and does not guarantee any specific results, outcomes, or transformations from coaching sessions. Individual results will vary based on each client's unique circumstances, commitment, and effort. The Client's success depends entirely on their own dedication, follow-through, and willingness to engage in the coaching process. While the Coach provides guidance, tools, perspective, and accountability, the Client accepts full personal responsibility for their own progress and results. Coaching is a collaborative partnership, not a guaranteed service.

Client Initials — I have read and understand the No Guarantee of Results clause:

Client Questionnaire

Are you currently taking any medication for any mental or cognitive disorders?

Yes No

If yes, please explain

What do you want to achieve from coaching?

What is one specific goal you have for your work?

Where did you find Dina Brady Coaching, LLC?

✓

Agreement & Signatures

Your initials throughout this document and your signature below indicate that you have read this Agreement and have had the opportunity to ask questions and address your concerns before signing. Your signature also indicates that you understand and provide your informed consent to the issues related to the risks and benefits of coaching, confidentiality, fees and payment, emergency procedures, and all other responsibilities and terms in this Agreement.

You also consent to the exclusive jurisdiction of the state or federal courts located in Florida with respect to any action or proceeding arising from or related to this Agreement.

I have read the Coaching Agreement in full and agree to the conditions stipulated within.

Please email me a copy of this signed agreement.

Client Printed Name

Client Signature — Draw your signature below

Sign here

Date Signed

Parent / Guardian Signature (if applicable)

Parent / Guardian Printed Name

Parent / Guardian Signature

Sign here

Date Signed

By clicking Submit, you confirm all information is accurate and your signature is legally binding.

Agreement Received

Thank you! Your signed coaching agreement has been submitted. Dina will be in touch shortly to confirm your first session. If you requested a copy, please check your email.