Coaching Agreement Form (Sample)

I’m looking forward to coming along side you as you enter more fully into the unique plan for your life. As your coach, I want to help you grow, change, develop, and achieve your life goals. While I may sometimes challenge you toward higher achievement, our relationship starts with your agenda, your values, and your initiative. You are responsible for your life, and you will make the choices about what actions to take and which areas we will work on together.

Following are a few guidelines to make our working relationship as productive as possible. If you have any questions, please call or e-mail me before we begin our coaching sessions.

Growth Goals

I will provide support, encouragement, accountability, perspective, and resources for you as you pursue your goals. We will create a developmental plan, including regular action steps, which you are committing to carry out. Since a significant part of our sessions will center on these action steps, I may choose to cancel or reschedule our session if the action steps have not been completed.


We agree to be diligent and to be punctual for our meetings so we can make the most of our time together. We will try not to cancel or reschedule out of respect for each other’s schedules. If it is necessary to reschedule, we will give one another at least 24 hours notice. If you completely miss a scheduled session without notice, you will be charged for the session. If you miss a session, it is your responsibility to initiate contact and reschedule.

Extra time

You are encouraged to contact me between scheduled sessions by e-mail or ‘spot calls’ (~5 minutes or so in length) with questions, struggles, thoughts, praise reports, or just to touch base. These contacts are included in your monthly fee. I enjoy delivering this extra level of service and the extra contact will be beneficial for you.


All coaching conversations are strictly confidential. Furthermore, unless you choose to tell others that you are being coached, this information remains confidential.


Payment is made by check prior to each upcoming session. Each one (1) hour coaching session and *retainer service is $75.00 per session.

*Retainer service refers to availability at times other than scheduled phone sessions via e-mail and brief ‘spot check’ phone calls.

Termination and Refunds

Either of us can terminate the coach-client relationship at any time. If we do, we will give each other one week’s notice. If you have prepaid for any coaching sessions, which were to occur after the termination, I will refund that portion of what you had paid. If one week’s notice is not given, no refunds are due.

It usually works best for both of us to bring some kind of closure to the relationship, so if you would like to end the relationship, let’s talk about it. If there is a misunderstanding, or you are dissatisfied with something, please bring it up and I’ll work with you to resolve any difficulties.


It is imperative for you to apply yourself if coaching is to be successful. Our work will sometimes be very purposeful, goal-directed, and dependent on you doing some specific outside work. Other times it will be very broad in scope, requiring time in reflection. Your real growth will come from the processing and steps you take in the time between our calls. I do not have all the answers you are looking for, but I will walk faithfully with you as you pursue the answers. My desire for you is that this will be a pivotal time in your life!

Please complete, sign where indicated and return to me.

Name: ________________________________________________________________

Address: ______________________________________________________________

Daytime Phone: _____________________  Evening Phone: _____________________

Cell Phone: ______________________________  Fax: _________________________

E-mail:_______________________________  Website: _________________________

(Please indicate preferred contact Information.)

I confirm that I have read the guidelines listed in the Coaching Agreement and agree to abide by them. As a coaching client, I understand and agree that I am fully responsible for my well-being during my time of coaching, including my choices and decisions. No guarantees have been made to me as to the expected outcome of my coaching. I am aware that I can choose to discontinue coaching at any time. I recognize that coaching is not psychotherapy, and that professional referrals will be given if it appears they are needed.

Client Signature: ___________________________________ Date: ______________

Coach Signature: __________________________________ Date: _______________

Payment: By check

Receipt for billing will be sent monthly, if requested.

Account billing address (if different than the contact information):



Signed: _______________________________     Date: ___________________