By checking this box I confirm that I understand that the information received from me, Lisa
Goins in connection with the Program or otherwise should not be seen as medical, nursing or
nutrition advice and is certainly not meant to take the place of your seeing licensed health
professionals, including your doctor.
You understand and agree that (i) I am not providing health care, medical or nutrition therapy
services and will not diagnose, treat or cure in any manner whatsoever, any disease, condition
or other physical or mental ailment of the human body, (ii) I am not acting in the capacity of a
doctor, licensed dietician-nutritionist, massage therapist, psychologist or other licensed or
registered professional, and (iii) you have chosen to work with me and participate in the
Program voluntarily.
As your Coach, I encourage you to maintain a relationship with your primary care physician or
doctor. In the event that you do not have one and/or do not have routine physicals, I encourage
you to do so. Do not discontinue or change any treatment plan that you may be on as a result
of our sessions without discussing the change with your doctor.
You affirm that you do not suffer from any illness that prevents coaching for psychological reasons. If
psychotherapy is currently being carried out or is advisable due to your health status, you confirm that you
have informed the treating therapist/doctor that you are receiving coaching and that the therapist/doctor
has agreed to the coaching. If the doctor is not informed, this is your sole responsibility.
RELEASE
You acknowledge and take full responsibility for your life and well-being, as well as the lives and
well-being of your family (where applicable), and all decisions made during and after the
Program. In furtherance and not in limitation of the foregoing, you hereby and forever waive,
release and discharge me, my heirs, executors, administrators, assigns, officers, agents,
employees, representatives, executors and all others acting on their behalf (the “Released
Parties”) from any and all claims or liabilities for injuries or damages to your person and/or
property or that of your family (where applicable), including those caused by negligent act or
omission of any of those mentioned or others acting on their behalf, arising out of or connected
with your participation in the Program or in connection with services provided by me or the
Released Parties.
LEGAL ITEMS
This Agreement may not be modified without the prior written consent of Client and Coach. The
waiver by either party of a breach, right or obligation shall not constitute a waiver of any other or
subsequent breach, right or obligation. If any provision of this Agreement is found to be invalid
or unenforceable for any reason, the remainder of this Agreement shall remain in full force and
effect. This Agreement sets forth the entire agreement between the parties and supersedes all prior proposals, agreements and representations between the parties, whether written or oral,
regarding the subject matter herein. Neither party may assign this Agreement without the prior
written consent of the other party. This Agreement shall be binding upon and shall benefit the
parties and their respective successors and permitted assigns. Except as provided to the
contrary herein, those provisions of the Agreement that by their nature and context are intended
to survive the termination of this Agreement, shall survive any termination of this Agreement.
This Agreement shall be construed and interpreted in accordance with the laws of the state of
Texas without reference to its conflict of law provisions, and with the same force and effect as if
fully executed and performed therein. Each Party hereby consents to the exclusive personal
jurisdiction of the State and Federal Courts in Texas, and acknowledges that venue is proper
only in such courts.
If the terms of this Agreement are acceptable, please sign the acceptance below. By doing so,
you acknowledge that: (1) you have received a copy of this letter agreement; (2) you have had
an opportunity to discuss the contents with me and, if you desire, to have it reviewed by your
attorney; and (3) you understand, accept and agree to abide by the terms hereof.