top of page

Coaching Client Consent Form

Awaken Your Purpose

Email: rj@awakenyourpurposetoday.com

Phone: (919) 322-8030

Coaching Client Consent Form

1. COACHING SERVICES: AWAKEN YOUR PURPOSE (RJ Perkins) exists to act in partnership with individuals, couples, and groups to gain clarity. Build confidence. Live with purpose.


2. SERVICE PROVIDER: RJ Perkins providing professional services.


3. CONFIDENTIALITY: Please read my PRIVACY POLICY.


4. INFORMED CONSENT: Most people who seek coaching are experiencing some form of personal or vocational challenge, relational conflict, or desire to see change and growth in their personal life. The goal of coaching is to empower the Client to effectively address those focus areas; however, at times, and in spite of best efforts, issues may persist or, at times, become worse. It is important to communicate any concerns to your coach.


5. CODE OF ETHICS: Please read my CODE OF ETHICS.


6. STATEMENT OF LIABILITY: The Client confirms he/she has read, signed, and agrees to adhere to AWAKEN YOUR PURPOSE'S (RJ Perkins') RELEASE OF LIABILITY statement for coaching partnerships.


7. PAYMENT FOR SERVICES: Fees are payable at the beginning of your scheduled session/program. Charges will be discussed between the Client and Coach for additional services such as nutrition, exercise, assessments, etc.

8. CANCELLATIONS: I (RJ Perkins) require a 24-hour notice of cancellation by calling/texting/emailing me directly. In the event that you do not call/text/email within the specified time, you may be charged the full fee of the missed session.


I HAVE READ THE ABOVE AND RECEIVED A COPY OF THE PRIVACY POLICY. I UNDERSTAND AND ACCEPT THESE CONDITIONS TO RECEIVE SERVICES. I MAY ASK QUESTIONS AT ANY TIME IN THE FUTURE.

Client/Parent/Guardian's Signature*

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Client/Parent/Guardian's Signature*

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Confidential Document

Provided information is to be used by Awaken Your Purpose (RJ Perkins) only and is a protected confidential file.

bottom of page