Premier Health Makeover 101 Program Agreement Premier Health Makeover 101 Program Agreement Health Makeover 101 Program Agreement Date* Please enter today's date in the format mm/dd/yyyy. Client Name*Please enter your full name. You are the Client.Health Coach - Linda O'Connor* Check to accept This agreement is being made today between the Client, who's name is listed above, and the Health Coach, Linda O'Connor, Certified Health Coach/AADP (American Association of Drugless Practitioners)/dba TLC Health Coach. To accept, check the box abovePremier Health Makeover 101 Program Contents* Check to accept The Premier Health Makeover 101 Program will include all of the following: A. The complete program content binder mailed to the Client by the Health Coach. B. 6 50 minute phone sessions during the program. These will be scheduled monthly to coincide with every 2 steps of the program. C. Email support between phone sessions. To accept, please check the box aboveScheduling of phone sessions* Check to accept It will be up to the Client to schedule their own phone sessions with the Health Coach to correspond with the 12 steps of the program. A website will be provided by the Health Coach for this purpose. All sessions will begin on the hour and end in 50 minutes. The Health Coach will call the Client. The Client will be expected to be available at the scheduled time. If the Client needs to cancel or reschedule an appointment, it must be done 24 hours in advance, otherwise the Client will forfeit that session. It is understood that emergencies do come up and special consideration will be granted in those cases. Likewise, the Health Coach has the option to ask the Client to reschedule under unforeseen circumstances or emergencies. To accept, please check the box above.Payments and Program Refund* Check to accept The program price of $400.00 was paid in full at tlchealthcoach.com. Upon completion of this Premier Health Makeover 101 Program Agreement the Health Coach will mail the program content binder to the client by priority mail. The client will then have a period of 7 days from the receipt of the program material to request a refund if he/she decides this health program is not right for them. The Client will then be responsible for mailing the complete program material in its original form back to the Health Coach. Upon receipt of the program material the Health Coach will issue a refund for the full amount of the program in the form of a business check mailed to the Client from TLC Health Coach. To accept, please check the box above.Disclaimer* Check to accept The Client understands that the role of the Health Coach is not to provide health care, medical or nutrition therapy services, or to diagnose, treat or cure any disease, condition or other physical or mental ailment of the human body. Rather, the Health Coach is a mentor and guide who has been trained in nutrition and holistic health coaching to help clients reach their own health goals by helping clients devise and implement positive, sustainable dietary and lifestyle changes. The Client understands that the Health Coach is not acting in the capacity of a doctor, licensed dietician-nutritionist, psychologist or other licensed or registered professional, and that any advice given by the Health Coach is not meant to take the place of advice by these professionals. If the client is under the care of a health care professional or currently uses prescription medications, the Client should discuss any dietary changes or potential dietary supplements use with his or her doctor, and should not discontinue any prescription medications without first consulting his or her doctor. The Client has chosen to work with the Health Coach and understands that the information received should not be seen as medical or nursing advice and is not meant to take the place of seeing licensed health professionals. To accept, please check the box above.Personal Responsibility and Release of Health Care Related Claims* Check to accept The Client acknowledges that the Client takes full responsibility for the Client's life and well-being, as well as the lives and well-being of the Client's family and children (where applicable), and all decisions made during and after this program. The Client expressly assumes the risks of the program, including the risks of trying new foods or other lifestyle changes, The Client releases the Health Coach from any and all liability, damages, causes of action, allegations, suits, sums of money, claims and demands whatsoever, in law or equity, which the Client ever had, now has or will have in the future against the Health Coach, arising from the Client's past or future participation in, or otherwise with respect to the Health Makeover 101 program, unless arising from the gross negligence of the Health Coach. To accept, please check the box above. Confidentiality* Check to accept The Health Coach will keep the Client's information private, and will not share the Client's information to any third party unless compelled to by law. To accept, please check the box above.Arbitration, Choice of Law, and Limited Remedies* Check to accept In the event that there ever arises a dispute between the Health Coach and Client with respect to the services provided pursuant to this agreement or otherwise pertaining to the relationship between the parties, the parties agree to submit to binding arbitration before the American Arbitration Association (Commercial Arbitration and Mediation Center for the Americas Mediation and Arbitration Rules). Any judgment on the award rendered by the arbitrator(s) may be entered in any court having jurisdiction thereof. Such arbitration shall be conducted by a single arbitrator. The sole remedy that can be awarded to the Client in the event that an award is granted in arbitration is refund of the program fee. Without limiting the generality of the foregoing, no award of consequential or other damages, unless specifically set forth herein, may be granted to the Client. This agreement shall be construed addording to the laws of the State of Texas. In the event that any provision of this Agreement is deemed unenforceable, the remaining portions of the Agreement shall be severed and remain in full force. To accept, please check the box above. Client Acceptance of Terms*If the terms of this Agreement are acceptable, please enter your full name and today's date in the box above. By doing so, the Client acknowledges that (1) he/she has had an opportunity to discuss the contents with the Coach and, if desired, to have it reviewed by an attorney; and (2) the Client understands, accepts and agrees to abide by the terms hereof; and, (3) the Client understands the name entered above constitutes an electronic signature. Upon receipt of this completed Premier Health Makeover 101 Program Agreement the Health Coach will sign a printed copy and mail it to the Client promptly.