Home
Meet Tanya
Programs
Grief Recovery Method
On-line Grief support
Helping children deal with loss
Grief support for Pet Loss
Resources
Grief Recovery Method Books
Articles
Get in Contact
Book Appointment
Home
Meet Tanya
Programs
Grief Recovery Method
On-line Grief support
Helping children deal with loss
Grief support for Pet Loss
Resources
Grief Recovery Method Books
Articles
Get in Contact
Book Appointment
Participant Release Form
Participant Release Form (1)
Step 1 of 2
50%
Name
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Email
Select one of these programs
*
It's Hope - Consultation
It's Hope - Package
Grief Recovery Method - Program
Tanya Stephenson
The Coaching Relationship
A coaching relationship can be a powerful experience, involving the development of new possibilities, new levels of achievement and personal growth. The coaching relationship between the coach and the client is founded upon mutual trust and respect. The central focus of the coaching relationship is the well-being of the client. Fundamental to a successful coaching experience is learning. The coach supports the client in reaching the desired outcome of the client. The coach supports the client in exploring new ways to view situations, individuals, possibilities, and in developing new approaches, plans, strategies and actions. This innovation involves learning. At times, the learning may be challenging. There may be times when the learning involves new discoveries about the way an individual’s own actions play a part in situations the individual wishes to change. This type of self-discovery can at times be uncomfortable. We hold all coaching conversations as confidential and will not voluntarily divulge information about a coaching relationship without the written or verbal permission of the client. We follow the International Coach Federation (ICF) Code of Ethics.
The Coaching Arrangement
This agreement between Tanya Stephenson and [CLIENT] begins on this date. All coaching should be completed within six months of the start date unless otherwise agreed upon. The coach and the client will decide on the length of the sessions and the total duration of the coaching relationship. The sessions will be conducted via in person or via Zoom meetings at pre-scheduled times, unless otherwise agreed upon by both parties. Sessions may be supplemented by emails as needed until the final session is complete. Should the client choose to continue the coaching relationship with the coach, it is a private matter between both parties, and it is not covered under this agreement.
The Coaching Agreement
I understand that coaching is not therapy nor is the coach qualified to give legal or financial advice. I take full responsibility for all actions I take as a result of coaching and neither IT’S HOPE nor Tanya Stephenson can be held responsible for any action taken or not taken as a result of coaching. I also agree to the following:
• I agree to be fully present and on time for all coaching conversations. • I realize that I am completely responsible for my own growth and learning. • I realize that there may be times in the coaching process where I may confront realizations that may be uncomfortable. • I realize I need not discuss anything I am not comfortable discussing. • I realize that I am responsible for my own actions and inactions. • I realize that my coaching relationship is a resource, and that it is up to me to fully utilize this resource. • I agree to communicate any concerns I have about the nature of my coaching relationship, my experience of the coaching relationship or any particular interactions with the coach. • I agree to give at least 24 hours’ notice if I need to change or cancel a session. • I agree if I do not attend a session without notice for any reason, this will be treated as a cancellation with no notice and I will not be entitled to a service refund. A cancellation fee amounting to the cost of the service may apply. I, [CLIENT], understand our commitment and agree to be accountable in our coaching relationship. I am the Participant named above. I want to participate in Grief Recovery Method® sessions conducted by a Grief Recovery Method Specialist,™ certified by The Grief Recovery Institute® (“GRI”).
I understand that the Grief Recovery Method (“GRM”)sessions are not intended to be or substitute for professional medical or mental health services, and I will not rely on the sessions as a substitute for professional medical or mental health services. I understand that my participation will not
1- qualify me to lead or conduct Grief Recovery Method sessions or similar sessions, or
2- make me a Grief Recovery Method Specialist, certified by The Grief Recovery Institute.
3- I will not receive a license to use GRI’s name or any of GRI’s trademarks.
Confidentiality Statement
I understand that as a participant in the Grief Recovery Method Online One-on-One program, I may have access to personal information about my CGRS. I understand that I am obliged to maintain the confidentiality of this information at all times. I understand I am not to store, discuss, interpret or otherwise relay this personal information. I further understand that violation of these privacy and confidentiality considerations could be subjected to legal action. I agree by my signature that I understand these privacy and confidentiality considerations.
In consideration of receiving the services, on behalf of myself and my representatives, successors, heirs and assigns I release, hold harmless and waive the right to bring any claim against GRI and its affiliates, licensees, employees, directors, officers, shareholders and agents arising from or related to my participation in the sessions, except for claims arising from their reckless or intentionally wrongful acts, including without limitation claims for injury, death, property damage or loss.
I understand all GRM programs are to be completed within 6 weeks. I agree to give at least 24 hours’ notice if I need to change or cancel a session and agree if I do not attend a session without notice for any reason, this will be treated as a cancellation with no notice and I will not be entitled to a service refund. A cancellation fee amounting to the cost of the service may apply.
If this release conflicts with applicable law, I intend to release claims to the extent permitted by applicable law.
Tanya Stephenson
I am the Participant named above. I want to participate in Grief Recovery Method® sessions conducted by a Grief Recovery Method Specialist,™ certified by The Grief Recovery Institute® (“GRI”).
I understand that the Grief Recovery Method sessions are not intended to be or substitute for professional medical or mental health services, and I will not rely on the sessions as a substitute for professional medical or mental health services. I understand that my participation will not
1- qualify me to lead or conduct Grief Recovery Method sessions or similar sessions, or
2- make me a Grief Recovery Method Specialist, certified by The Grief Recovery Institute.
3- I will not receive a license to use GRI’s name or any of GRI’s trademarks.
Confidentiality Statement
I understand that as a participant in the Grief Recovery Method Online One-on-One program, I may have access to personal information about my CGRS. I understand that I am obliged to maintain the confidentiality of this information at all times. I understand I am not to store, discuss, interpret or otherwise relay this personal information. I further understand that violation of these privacy and confidentiality considerations could be subjected to legal action. I agree by my signature that I understand these privacy and confidentiality considerations.
In consideration of receiving the services, on behalf of myself and my representatives, successors, heirs and assigns I release, hold harmless and waive the right to bring any claim against GRI and its affiliates, licensees, employees, directors, officers, shareholders and agents arising from or related to my participation in the sessions, except for claims arising from their reckless or intentionally wrongful acts, including without limitation claims for injury, death, property damage or loss.
I understand all GRM programs are to be completed within 6 weeks. I agree to give at least 24 hours’ notice if I need to change or cancel a session and agree if I do not attend a session without notice for any reason, this will be treated as a cancellation with no notice and I will not be entitled to a service refund. A cancellation fee amounting to the cost of the service may apply.
If this release conflicts with applicable law, I intend to release claims to the extent permitted by applicable law.
Signature
Date
*
Date Format: DD slash MM slash YYYY
Payment Options
Individual Consultation
*
Price:
$ 100.00
Quantity:
Full Payment (One Time Payment)
Price:
$ 500.00
Quantity:
Split Payment (over 2 months)
Price:
$ 270.00
Quantity:
$540.00 Total Price
First payment will be charged today, your 2nd payment will be charged in 1 month.
Split Payment (over 3 months)
Price:
$ 180.00
Quantity:
$540.00 Total Price
First payment will be charged today, your 2nd payment will be charged in 1 month, 3rd payment in 2 months time.
Split Payment (over 4 months)
Price:
$ 140.00
Quantity:
$560.00 Total Price
First payment will be charged today, your 2nd payment will be charged in 1 month, 3rd payment in 2 months time, 4th payment in 3 months time.