Your Personal Commitment to Meaningful Change

Application: By signing below, you, (client name), as client, agree to work with Deb Larson toward your goal to uncover limiting beliefs and expectations around (goal) and consciously create the fulfilling life you desire. Your goals may change as you grow into your wholeness. Just know that there is flexibility, I will follow your needs.

This contract signifies that you are committing to # bi-weekly sessions over # months and that you are willing to follow through with mutually agreed upon homework between sessions, whether it be listening to recordings and journaling, exercises, or taking action steps. After your # sessions, you and Deb will discuss how to proceed. Should you choose to continue our work together, we will revisit what you would like to focus on, fees, and terms of payment.

Signing this agreement automatically makes this agreement a binding contract between you and Deb Larson. You acknowledge that you have read, agree to, and accept all of the terms and conditions contained in this agreement. Deb Larson may change the terms of this agreement to better meet your changing needs, at any time, and of course, will communicate those changes with you beforehand.

Scheduling: Unless you choose to work by phone, a secured zoom link will be issued in the session confirmation email each time a session is scheduled. For the sake of consistency and maximum growth, you will be encouraged to choose a day and time that will work for you over the period of your commitment. Yet, be assured that there is also some room for flexibility in scheduling.

Your sessions will be bi-weekly and each session can run around 60 minutes long. If you are more than ten minutes late, the rescheduling policy will apply.

Rescheduling: Contact Deb immediately or as soon as possible via text (941-613-7233) with any rescheduling requests (more than 24 hours before your session). Monthly automated payments will not be affected when you reschedule a session or press pause, your due date will remain the same, unless otherwise agreed upon. Appointments cancelled with less than 24-hour notice may not be rescheduled and will result in session forfeiture, unless otherwise agreed upon. Keep in mind that postponing your sessions postpones your progress, and it may be difficult to find an alternative day/time that is convenient for you. Think of each coaching session as similar to an important doctor’s appointment.

Rescheduling and not following through on your homework is sometimes a sign of resistance, often caused by fear or unwillingness to face a particular problem. This resistance is a normal part of the coaching process. Sharing how you are feeling with Deb will allow her to help you work through fears. However, Deb cannot be more committed to your growth than you are. As a result, she reserves the right to terminate your enrollment in this program after 3 rescheduling requests for the same appointment.

Confidentiality: We respect your confidentiality and must insist you respect Deb’s. By signing this document, you agree not to infringe on Deb Larson’s copyright, patent, trademark, trade secret or other intellectual property rights. This coaching agreement involves you receiving audio recordings and written materials. Distribution, reproduction, or sale of any materials provided to you by Deb Larson is strictly prohibited. Deb will honor your confidentiality unless required by law to disclose any information.

Responsibility: You accept and agree that you are 100% responsible for your progress and results of this coaching relationship. You commit to accepting and fully participating in homework assignments, exercises, and sessions presented by Deb. Deb is not responsible for your failure in applying her guidance as directed.

Homework: To reinforce your insights and new conscious choices, and expedite your progress toward your goal(s), it is recommended that you review your session notes when you receive them, begin to make a plan for how you want to implement your action steps, and work on the mutually agreed upon homework during the time between sessions.

Pre-session questionnaire: You will also receive a pre-session questionnaire via email beginning with sessions # 2 to fill out and return to me no later than the day before your session so that Deb may review and prepare. This pre-session questionnaire will help me know how you are doing with homework and will give us a good idea of your intention for your session so we can jump right in. You are also invited to send a check-in email to Deb between sessions. While it’s not mandatory, some clients like to use it as a journal and it helps me understand and know you better. You can also text me between sessions if you have questions or concerns.

Medical or Psychological Conditions: In the event of a medical or psychological emergency contact 911 immediately. Deb is not qualified to render medical or psychiatric diagnoses or treatment. If you are struggling with depression, substance abuse, other addictions, or any other behavior that may affect your safety or the safety of someone else, consult a qualified professional for treatment immediately. Together, you may decide to engage Deb for hypnotherapy sessions. Please note that those services are scheduled and charged separately from coaching.

Legal Disclaimer: Every effort has been made to accurately represent this service and its potential. It is not Deb’s intention to represent or guarantee that anyone will achieve the specific results. Each individual's success depends on her background, dedication, and desire.

Program Length: You agree to participate in # bi-weekly private coaching sessions with Deb. The partnership officially begins immediately upon your first session and ends in no longer than # months’ time, unless otherwise agreed. Any unused sessions may be forfeited 2 weeks beyond the #-month period, unless otherwise agreed upon.

Payment: You agree to compensate Deb Larson as agreed upon and noted below.

# bi-weekly sessions over a #-month period. This includes an optional email check-in between sessions, guided imagery and active imagination visualization recordings, pre-session questionnaire, and post-session notes.

3-month program:

___Option 1: Pay in Full: $ XXXX - with $100 savings with a 3-month prepaid commitment.

___ Option 2: 6 courtesy bi-weekly automated payments of $XXX.

6-month program:

___Option 1: Pay in Full: $XXXX - with $300 savings with a 6-month prepaid commitment.

___Option 2: 12 courtesy bi-weekly automated payments of $XXX.

12-month program:

___Option 1: Pay in Full: $XXXX - with $600 savings with 12-month prepaid commitment.

___Option 2: 24 courtesy bi-weekly automated payments of $XXX.

Deb reserves the right to revisit payment fees beyond the initial period of working together. Rates are not guaranteed beyond length of contract, unless otherwise agreed upon. Any changes to fees will be discussed as we are nearing the end of your commitment when we discuss how to best proceed.

By signing below, you agree to all of the terms above, and because you are committed to your own transformation (goal), you agree that you are responsible for full payment of the entire # months, regardless of whether you choose to complete the Jungian Life Coaching Program, and regardless of whether you have selected to pay-in-full or as a recurring subscription. Payments will appear on your credit card statement under the name Larson Hypnotherapy and Wellness or Deb Larson Coaching.

Participants paying via recurring billing are charged bi-weekly, even if you reschedule or pause your sessions, and the payments are due upon receipt of the invoice email. Participants who choose to make a one-time discounted payment will be directed to pay online via credit/debit card via stripe. If at any time your credit/debit card is declined, you are responsible for providing an alternate payment method within five business days or the program will be automatically discontinued. No refunds will be made.