Parent Consent Form
Consent: please read carefully and fill out the form below.
I give consent to my son/daughter taking part in the coaching activities and assignments conducted by Certified Life Coach Christa Smith and agree it will only be of benefit to my child.
I understand and accept that results or outcomes are not guaranteed and that my child is responsible for the results of coaching.
I give consent for my son/daughter to be contacted by Christa Smith either by Zoom, texting or phone for the purpose of life coaching.
I understand that my son/daughter’s participation in life coaching is voluntary and can be withdrawn at any stage in writing.
I understand any personal information collected during my son/daughter’s participation in life coaching is strictly confidential unless Christa Smith determines that it is her duty of care to inform me or another professional or relevant governing body of risk of harm to themselves or others.
I understand and accept that life coaching is not a substitute for counseling, psycho-therapy and/or any mental health service.
I understand if I have any questions or concerns relating to my son/daughter’s participation in life coaching, I can contact Christa Smith on her cell phone number at 808-446-9211 or email her at christa@christa-smith.com.
Your electronic signature on this consent form indicates a full understanding of the Coaching Parent Consent Form with the information outlined above.