Participant Release Form

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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.

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