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The Sprouted Life :: Collaboration with Kalish Wellness

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Item	Quantity	Total
The Roots \| Single Coaching Session		$95.00
Total: $95.00	Coupon:

As a condition to my participation in health coaching (the "Program") with Jennifer Stump DBA The Sprouted Life (the "Coach"), I agree as follows:

1. I do hereby waive, release, and forever discharge the Coach, and their independent contractors, employees, representatives, and all others from any and all responsibility or liability for injuries or damages resulting from my engagement in any activities, including, but not limited to dietary changes, exercise, and stress management, arising out of my participation in any activities under "health coaching".

2. I understand that the Coach is not a licensed dietitians, naturopathic doctor, physician or other medical professional. I further understand that coaching does not replace seeing a licensed physician or other medical professional. I acknowledge and agree that:

Only a licensed physician or medical professional can prescribe drugs;
Any mention of drugs/medications in the course of the Program is only for the purpose of providing a complete history of drugs that I am taking and not for the Coach to judge the appropriateness of the medication;
Any change in prescription or dosage is a decision that I will solely make with my medical providers;
If I suspect that I may have an ailment or illness that may require medical attention, then it is my sole responsibility to immediately consult with a licensed physician or other medical provider; and
The Program is not meant to be a substitute for counseling or treatment for mental health problems.

3. I agree that using any or every part of this Program is entirely at my own risk. Health coaching services involved in the Program are provided “AS IS,” without warranty or guarantee of any kind, either express or implied. I understand that I may be coached in fitness, nutrition, stress management, emotional resilience, life visioning, overall preventive health and health risk management. These services may be requested or rejected at my own free choice. I am free to discontinue the Program at any time.

4. I further acknowledge that I have either had a physical examination and have been given a physician’s permission to participate or that I have decided to participate in physical activity and/or use of exercise equipment without the approval of my physician and do hereby assume all responsibility and risks of injury from such participation and activities.

5. Personal Responsibility, Disclaimer & Release of Claims.

I acknowledge that I take full responsibility for myself and all decisions made before, during and after the program. I accept full responsibility for my choices, actions and results before, during and after the program, and I knowingly assume all of the risks of the program related to my use, misuse, or non-use of the program or any of the program materials. I understand and agree that I am solely responsible for my results.

The coach has used care in preparing the information provided to me, but the program and the program materials are being provided as self-help tools for my own use and for informational and educational purposes only. There are many factors that influence results, so no guarantees can be made as to the results I will experience through this program, if any. I agree that the coach is not responsible for my physical, mental, emotional and spiritual health, for my financial earnings or losses, or for any other result or outcome that I may experience through or related to this program in any way. Nothing related to this program is intended to be considered medical, mental health, legal, financial, or religious advice in any way and I should consult with my own personal advisors as to any such matters. For specific questions related to a medical or mental health situation, I WILL consult my own medical or mental health professional. for specific questions related to my financial, legal or tax situation, I WILL consult my own attorney, accountant, and/or financial advisor. For specific questions related to religion, spirituality, or faith, I WILL consult my own clergy member or spiritual healer. I agree that I will not start or stop taking any medications because of anything I have read or received through this program. any suggestions regarding any products are simply offered for educational purposes, and I need to check with my own medical professional before using any of these products on, in or near my body in any way.

The coach is not responsible in any way for the information that I request or receive through this program, including any services, products, and program materials and any other information I have received from or through the coaches related to the program in any way. I agree that I fully and completely hold harmless, indemnify and release the coaches from any and all liability, damages, causes of action, allegations, suits, sums of money, claims and demands whatsoever, in law or equity, that I ever had, now have or may have against the coach in the future that may arise from my participation in the program, including all services, products, and program materials, to the extent permitted by applicable law.

6. I understand that the Coach may terminate the Program for any reason and at any time, including but not limited to, inappropriate conduct of my doing.

7. I am aware that health coaching will take place either over the phone or through video teleconferencing at a day and time that is mutually agreed upon.

8. I understand that I am expected to make all calls/appointments on time.

9. Health Coaching Process: Coaching is a collaborative process that requires active and invested participation. To get the maximum benefit from coaching, I should come to each coaching session prepared with a topic for discussion. Successful health coaching is largely dependent on my willingness to define and accept goals and try new approaches. I will determine the goals and outcomes and I will have the ultimate responsibility for the choices, plans, timing and actions that I decide to take.

10. Confidentiality: The Coach will keep all information exchanged between me and my Coach during the Program confidential. The Coach will not disclose any information that I share during the Program to anyone else unless: (1) such person has a legitimate reason to know such information as a member of the Coach's team or staff, (2) such disclosure is required by law, (3) I have given my Coach prior written permission, (4) such information is already known to the Coach or another members of their staff, (5) such information is acquired from a third party or (6) such information is or becomes generally known to the public other than as a result of disclosure by the Coach or another member of their staff.

I have read the above consent, waiver and release and fully understand its contents and voluntarily agree to the terms and conditions stated. I acknowledge that I have reviewed (or have had the opportunity to review) all aspects of this Agreement with my counsel. I acknowledge that agreeing to the terms of this Agreement is a condition precedent to my participation in the Program. I further acknowledge that I take full responsibility for my life and well-being, and all decisions made during and after this Program.