Welcome to Crosspoint Life Coaching

Please review and feel free to ask any questions before you sign. Thank you.

1. I understand that coaching is a relationship I have with my coach that is designed to
facilitate the creation and development of personal, professional, and/or business goals
and to advance and carry out a strategy and plan for achieving those goals. I understand
that coaching is a process that may involve all areas of my life, including work, finances,
health, relationships, education, and recreation. I acknowledge that deciding how to
handle these issues and implement my choices is exclusively my responsibility.

2. I understand that coaching does not attempt to treat mental disorders as defined by
the American Psychiatric Association. I understand that coaching is not a substitute for
psychotherapy, psychoanalysis, or mental health care of substance abuse treatment, and
I will not use it in place of any form of therapy. I promise that if I am currently in therapy
or otherwise under the care of a mental health professional that I have consulted with
this person regarding the advisability of working with a coach and that this person is
aware of my decision to proceed with the coaching relationship. I recognize that coaching
is not therapy and that professional referrals will be given if needed.

3. I agree that my name, phone number or email address will be kept and communicated
with the ICF and the PCCI(Professional Christian Coaching Institute) This information will
be utilized strictly for the purpose of meeting the coach’s credentialing requirements. I
agree to allow my coach to document the coaching hours with me for submission to the
ICF and PCCI for this certification as a coach. Otherwise, I understand that information
will be held as confidential unless I state otherwise in writing, except as required by law.

4. This coaching contract agrees to regular coaching sessions at a minimum of _____
times per month. Each session will last between 45 to 55 minutes. The client agrees to
remit payment of ___$130.00__ USD per session. Payment is billable on the day of the session.

5. I will call Crosspoint Life Coaching and become responsible for payment if I do not
reschedule a missed appointment at least 24 hours in advance. I am aware that I or Crosspoint Life Coaching can
choose to discontinue coaching at any time.

Nilsa Hagen
Crosspoint Life Coaching LLC
nilsa@crosspointlifecoaching.net
tel: 678-367-1131