I understand that the coaching services I will be receiving from The Connected Family are not offered as a substitute for professional mental health care or medical care and are not intended to diagnose, treat or cure any mental health or medical conditions. I also understand that The Connected Family is not acting as a mental health counselor or a medical professional.

I understand that coaching is, at present, an unregulated industry and that The Connected Family is not licensed by the State of Colorado. I also understand that for all legal purposes, the services provided by The Connected Family will be considered to be provided in the State of Colorado.

I understand and agree that I am fully responsible for my well-being during my coaching
sessions, and subsequently, including my choices and decisions. I understand that coaching is not a substitute for counseling, psychotherapy, psychoanalysis, mental health care or substance abuse treatment, and I will not use it in place of any form of

I understand that all comments and ideas offered by The Connected Family are solely for the purpose of
aiding me in achieving my defined goals. I have the ability to give my informed consent, and
hereby give such consent to my coach to assist me in achieving such goals. I understand that to the extent our work together involves career or business, The Connected Family is not promising outcomes included but not limited to parenting advice, family relationships, or my own personal growth.

I understand that The Connected Family will protect my information as confidential unless I state otherwise in
writing. If I report child, elder abuse or neglect or threaten to harm myself or someone else, I understand that necessary actions will be taken and my confidentiality agreement limited in this capacity. Furthermore, if The Connected Family is ordered by a court to provide information or to testify, they will do so to the extent the law requires.

I understand that the use of technology is not always secure and I accept the risks of confidentiality in the use of email, text, phone, video and other technology. I hereby release, waive, acquit and forever discharge The Connected Family, any agents, successors, assigns, personal representatives, executors, heirs and employees from every claim, suit action, demand or
right to compensation for damages I may claim to have or that I may have arising out of acts or omissions by myself or by The Connected Family as a result of the advice given by The Connected Family or otherwise resulting from the coaching relationship contemplated by this agreement. I further declare and represent that no promise, inducement or agreement not expressed in this agreement has been made to me to sign this agreement. This agreement shall bind my heirs, executors, personal
representatives, successors, assigns, and agents.