Client Intake (Becoming You/Solid Stone Men's Course)

Step 1: Client Agreements & Sacred Yes Form

Name

Phone Number

Address

Date

Age

Date Of Birth

Course

How did you hear about us?

As we start this work, please give your sacred yes and commitment to the questions below. There is importance and value in these commitments to ensure you get the most out of our time together and the most out of yourself.

I am aware that healing takes time, and it can take more than nine sessions to do the healing work required to find my authentic self.

I commit to being honest with myself and my coach

I commit to being open to all possibilities of healing my wounds and moving forward with love

I commit to completing the homework each week

I commit to honoring and keeping the meditations and homework content confidential

I commit to keep myself from distractions during video chat sessions

I commit to refraining from all substances that impair my mood, feelings, thoughts and emotions including tobacco, alcohol, and excessive stimulants. (If this is an issue please explain, it doesn't mean we can't work together we just need to come to a shared agreement)

I commit to speaking kind to and about myself

I commit to work solely with the Rough Stone Shining coaching until the sessions are complete to ensure there is not confusion in content and distractions in coaching style.

My SACRED YES to YOU! I know you are worthy of doing this healing work. I know these commitments will cause you to stretch yourself in ways you haven't stretched before. I know God has a divine plan and purpose for you. I know this work will only take you one step closer to stepping into your greatness. I commit to value and honor you and our discussions in this work by giving you my sacred YES!!!!!!!!

Policy and Cancellation All payments are paid in full and are non-refundable. Appointments will be set for the same date and time every week. Appointments can be rescheduled only if in that same week. If you need to cancel an appointment, please give a 24-hour notice, or you will be charged for the session. All sessions expire after non-use, 30 days from payment. I understand that the purpose of life coaching is to provide holisitic and spiritual lifestyle instruction, I agree that my spiritual life coach will not be held liable in the event of any and all injury associated with the activities that I participate in (i.e. any physical activity, spiritual guidance, emotional suggestions, mental help and/or instruction that I receive). I acknowledge that The Rough Stone Shining is not a physician and isn't trained in any way to provide medical diagnosis, medical treatment, psychotherapy, or any other type of medical advice. I acknowledge that coaching/training is another tool for teaching individuals about themselves, but that does not guarantee that coaching advice given by The Rough Stone Shining will produce good nor bad results. I acknowledge that Life Coaching may suggest exercise as part of my lifestyle and any risks of participating in these types of events/ activities, will not hold The Rough Stone Shining liable. I waive, release, discharge and agree not to sue from any liability of death, disability, personal injury, or action of any kind. I agree that this is the full agreement between the parties, that no one else has verbally contradicted any of the terms of this release and that I entered into this agreement free and voluntarily without force or coercion.

Please sign your name here in understanding of my policy *

This waiver allows: Rough Stone Shining, LLC, has the right to use my photos, videos, and voice recordings on social media and its website, as well as promotional and advertising materials in print, video, and digital media. Rough Stone Shining will always give notice beforehand. By signing this form, I am waiving my rights to be compensated for using my photos.

Please sign your name here in understanding of my policy *

Step 1: Client Agreements & Sacred Yes Form

Join Our Free Trial