Sample Coach Agreement Form

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Ph: 540- 491-0343
COACHING AGREEMENT
CLIENT NAME:______________________________
Choose your
FEE PLAN:
ADDRESS:________________________________

1 session for $75
_________________________________________

EMAIL: ___________________________________
2 sessions for $150

DAY PHONE: ______________________________
3 sessions for $225
EVENING PHONE: __________________________

4 sessions for $300
CELL PHONE: ______________________________

12 sessions for $900
DATE OF BIRTH: ___/___/___

30 sessions for $2000
PAYMENT PROCEDURE
Payment can be made online by credit card or PayPal at
or a personal check can be mailed in. Payment is due in full before the first session
for the Fee Plan of your choice.
Personal Check Option
Make check out to Doro Kiley in U.S. Dollars in the amount outlined in the Fee Plan
of your choice. Checks can be mailed to:
Doro Kiley, PCC
9163 Sugar Run Rd.
Copper Hill, VA 24079
SESSION TIME:
Duration of sessions: 50 minutes. A late start will mean a shorter session. Please come to
the call prepared and on time.
PROCEDURE:
You, the Client, will call me, the Coach, at prearranged time for our scheduled sessions at
the phone number that will be provided to you as soon as your first session is scheduled.
You may also contact me anytime by going to You
will also receive my personal phone number as soon as your first session is scheduled.
GROUND RULES:
1. CLIENT CALLS THE COACH AT THE SCHEDULED TIME AT THE PHONE NUMBER
PROVIDED WHEN FIRST SESSION IS SCHEDULED.
2. CLIENT PAYS THE COACHING FEE OF HIS/HER CHOICE BEFORE THE FIRST
SESSION.
3. CLIENT PAYS FOR LONG-DISTANCE CHARGES, IF ANY.
4. IF RESCHEDULING PLEASE GIVE NOTICE AT LEAST 24 HOURS IN ADVANCE
5. NO REFUNDS ARE AVAILABLE.
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