I understand that Lourdine Jean-Francois is not a physician or psychiatrist, and the scope of his/her
coaching/consultation services does not include mental health treatment, therapy or diagnosis of
specific illnesses or disorders. If I, the client, suspect I may have an ailment or mental illness that
may require medical or psychiatric attention, then it is my responsibility to consult with a licensed
physician or mental health provider immediately. Only a licensed physician or psychiatrist can
prescribe drugs. Coaching does not substitute or replace therapy.
Rather than dealing with treatment of disease or therapy, Lourdine Jean-Francois focuses on
empowerment coaching and assisting clients with their personal goals. As an Empowerment
Coach, Lourdine Jean-Francois primarily educates and motivates clients to assume more
personal responsibility for their life by adopting a healthy attitude, lifestyle, and assisting with
accountability towards their goals.
While people generally experience greater health and wellness as a result of embracing a healthier
attitude and mindset, Lourdine Jean-Francois does not promise or guarantee protection from illness
or emotional distress.
By signing below, I acknowledge that I understand that Lourdine Jean-Francois is a Coach/Licensed
Clinician and not a physician, and that I should see a doctor if I think I have a medical condition.
Lourdine Jean-Francois will not be held liable for failure to diagnose or treat an illness, nor will
she/he be liable for failure to prevent future illness.
I am joining Lourdine Jean-Francois's coaching and consulting program with the understanding that
this is NOT a mental health service, therapy or a treatment for a medical condition.
Coaching Agreement
Congratulations on taking this major step towards your growth and success! I sense your strong commitment and desire to be the best version of yourself that you can be. Over the next 6 months, we will collaborate to work on your personal goals. As your Empowerment Coach, I’ll be working with you to embody your power so you can live the joyful life that you deserve.
Based on your goals, I will ask questions, reflect insight, provide feedback and hold you accountable to help you make your own choices and achieve your vision. I’m confident, that together, we can work on achieving your goals.
This Coaching Agreement (the “Agreement”) is entered into on this ___ day for 6 months by and between _________________ (Divine Wisdom Ministries) and ___________ (“YOU”
or “Client”) for the purpose of Divine Wisdom Ministries providing coaching services to YOU in an effort to achieve your goals. The parties together are hereinafter known as the “Parties”.
In consideration of the mutual covenants and agreements contained herein, the Parties agree as follows:
Description of Coaching: Coaching is a partnership (defined as an alliance, not a legal business partnership) between the Coach and the Client in a thought-provoking and creative process that inspires the client to maximize personal and professional potential. It is designed to facilitate the creation/development of personal, professional or business goals and to develop and carry out a strategy/plan for achieving those goals.
The Client understands that in order to enhance the coaching relationship, the Client agrees to communicate honestly, be open to feedback and assistance and to create the time and energy to participate fully in the program.
Agree to be Bound. By signing the Agreement and submitting payment, YOU acknowledge that you have read, understand, and agree to be bound by the terms of this Agreement, which includes keeping commitments and being on time for sessions.
Authorization of Payment. By signing below, you authorize Divine Wisdom Ministries to charge your credit card, cash your check, or initiate payment via PayPal. You represent to the Divine Wisdom Ministries that payment of your fee will not place a significant financial burden on you or your family. You are responsible for payment of the entire fee amount, regardless of whether you attend all sessions, and regardless of whether you have selected a pay in full or monthly payment plan. By signing the agreement, you state that, if, for any reason, you choose to cancel any part of the services, you are obligated to pay or continue to pay whatever balance is due. To further clarify, no refunds will be issued, and all scheduled payments must be paid on a timely basis.
Commitment Period. This Agreement ends with the completion of the services (the “Commitment Period”). All services must be performed during the Commitment Period, or they are lost. There are no roll-overs. Services may be extended beyond the Commitment Period only with the express written consent of Coach.
Modifications. From time-to-time Divine Wisdom Ministries may modify this
Agreement, and such modifications shall be effective upon posting, byDivine Wisdom Ministries on the Divine Wisdom Ministries web site www.flowwithcoachlou.com or via email with the subject line specifically stating “amendment to existing agreement” or similar language denoting the Agreement has been modified.
Termination for Unprofessionalism. We are committed to providing you with a positive and productive experience. By signing below, you agree that the Divine Wisdom Ministries at its sole discretion, may limit, suspend, or terminate your right to participate in the program without forgiveness of any remaining monthly payments if you become disruptive or difficult to work with, fail to follow program guidelines.
Cancelation. Coach has a 48-hour cancelation policy, which means Client may cancel or reschedule, but Client MUST notify Coach no later than 48 hours prior to scheduled consultation. If Client misses Client’s scheduled and predetermined Coaching Session, or is late for the Coaching Session, Coach will attempt in good faith to reschedule the missed meeting. If the meeting cannot be rescheduled that coaching session will be forfeit. Client also understands that any/all scheduled coaching calls, retreat days or other benefits expire at the end of the Commitment Period and will not be carried-over. It is important to note that your benefits MUST be used during the Commitment Period.
Confidentiality. As your Coach I respect your privacy and must insist that you respect the privacy of others. You agree not to violate the publicity or privacy rights of any third party, including the Coach. Further, we respect your confidential and proprietary information, which is any information you specifically state is “Confidential.”
No Guarantees. Divine Wisdom Ministries has made every effort to accurately represent the benefits you will receive through coaching. That being said, there are no guarantees regarding any result or benefit to be received by. The testimonials and examples used are not intended to represent or guarantee that anyone will achieve the same or similar results.
Each individual’s success depends on many factors, including but not limited to, his or her background, dedication, starting point in their business, desire and motivation.
Disclaimer. Divine Wisdom Ministries is a coaching practice and not qualified to provide legal, tax, accounting, financial wealth management, or therapeutic advice. It is your responsibility to secure assistance from the appropriately qualified professional if such advice is needed.
Governing Law. This Agreement and performance hereunder shall be governed by the laws of Maryland.
Force Majeure. Except for an obligation to pay fees, neither party shall be liable forfailure to perform any of its obligations under this Agreement during any period in which such party cannot perform due to matters beyond their control, including, but not limited to, strike, fire, flood, or other natural disaster, war embargo, or riot, cyber-attack, sickness, provided that the delayed immediately notifies the other party of such delay.
The terms of this clause shall not exempt the parties from their obligations hereunder, but merely suspend their duty to perform, until the force majeure condition ceases to exist.
No Partnership. Nothing in this Agreement is meant to suggest a partnership, venture alliance, security interest, or employer relationship.
Waiver. The waiver or failure of Divine Wisdom Ministries to exercise any obligation under this Agreement shall not be deemed a waiver of any further right.
Severability. If any provision of this Agreement is invalid, illegal, or unenforceable under any applicable statute or rule of law, it is to that extent to be deemed modified in order to comply with applicable law, and the remaining provisions shall not be affected in any way
Entire Agreement. This Agreement is the entire agreement and understanding between the Parties and supersedes any prior agreement or understanding whether oral or written relating to this Agreement.
YOGA TEACHER LIABILITY
STUDENT WAIVER AGREEMENT
I
_________________________________(print name) understand that yoga includes physical movements as well as an opportunity for relaxation, stress reeducation and relief of muscular tension. Participation in yoga class includes, but is not limited to, participation in meditation techniques, yogic breathing techniques, and performing various yoga postures. Yoga postures, or asanas, are designed to exercise every part of the body―stretching and toning the muscles and joints, the spine and the entire skeletal system. They also work on the internal organs, glands and nerves. Yoga incorporates sustained stretching to strengthen muscles and increase flexibility. Yoga is an individual experience.
As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. My signature acknowledges I understand that in yoga class I will progress at my own pace. If I experience any pain or discomfort, I will listen to my body, adjust the posture and ask for support from the yoga teacher (the “Teacher”). I will continue to breathe smoothly. If at any point I feel overexertion or fatigue, I will respect my body’s limitations and I will rest before continuing yoga practice.
Yoga is not a substitute for medical attention, examination, diagnosis or treatment. Yoga is not recommended and is not safe under certain medical conditions. I affirm that I alone am responsible to decide whether to practice yoga.
By signing my name below, I acknowledge that participation in yoga classes exposes me to a possible risk of personal injury. I am fully aware of this risk. I hereby consent to receive medical treatment that may be deemed advisable in the event of injury, accident and/or illness during any yoga class.
I hereby take action for myself, my executors, administrators, heirs, next of kin, successors and assigns as follows: I (a)
irrevocably WAIVE, RELEASE AND DISCHARGE FROM ANY AND ALL LIABILITY for my death, disability, personal injury, property damage, property theft or actions of any kind which hereafter may occur to me, including my traveling to and from yoga classes, Teacher and Divine Wisdom Ministries, who is hosting these classes and where sessions are being held, and each of their directors, officers, employees, volunteers, representatives and agents; and (b) INDEMNIFY, HOLD HARMLESS AND AGREE NOT TO SUE the entities or persons mentioned in this paragraph as to any and all liabilities or claims made as a result of participation in the yoga classes, whether caused by the negligence of releases or otherwise.
My signature further acknowledges that I shall not now or at any time in the future bring any legal action against Teacher and/or Divine Wisdom Ministries; and that this waiver is binding on me, my heirs, my spouse, my children, my legal representatives, my successors and my assigns. My signature verifies that I am physically fit to participate in yoga classes and a licensed medical doctor has verified my physical condition for participation in this type of class.
If I am pregnant or become pregnant or am postnatal, my signature verifies that I am participating in yoga classes with my doctor’s full approval. I realize that I am participating in yoga classes at my own risk.
The Student Waiver Agreement shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. I acknowledge that this Student Waiver Agreement form will be used by the persons or entities being released in the yoga classes and that it will govern my actions and responsibilities in said classes.
I hereby certify that I have read this document; and I understand its content.
I am aware that this is a release of liability as well as a contract, and I sign it of my own free will.
I also understand that at the yoga classes or related activities, I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purposes by the Teacher or Divine Wisdom Ministries.