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Parent/guardian/client Coaching Agreement Form - A T T E N T I O N S O L U T I O N S Page 2

A t t e n t i o n S o l u t i o n s

A D H D L i f e C o a c h i n g

Terms

Initial term

______ months, from _____________ through _______________

Start Date: _______________

Fee

$_______ per month

Coaching conducted via ____ Phone ____ Group _____ Skype _____ in Person

Session day ___________________ Session time ______________________

Number of sessions per month __________________

Duration

___________________ (Length of scheduled session)

Referred by: ___________________________________________________________________

Agreement

This is to acknowledge that Coach Ally Martin has been retained by ______________________,

Client, to provide coaching services to ___________________, the Person Being Coached. The

relationship between the Person Being Coached and Client is that of ______________________.

Both parties have received and accepted a copy of the Welcome Letter and Agreement for

Coaching Services. Both agree to be accountable for that agreement, except to the extent that

this document modifies it.

The Person Being Coached agrees to accept Coach’s services and to take the coaching as

seriously as though the Person Being Coached were paying for the services him/herself.

As the Parent or Guardian (Client) of the Person Being Coached, I agree to the following:

1. I understand that coaching is an investment in the current development and future success

of the Person Being Coached.

2. I shall be solely responsible for the payment of Coach’s fee. If other arrangements have

been agreed upon, they are listed here:

________________________________________________________________________

Parent/guardian/client Coaching Agreement Form - A T T E N T I O N S O L U T I O N S Page 2