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Following are some details of how I work with clients. Please complete, sign and submit on-line. If you have any questions, please call me.

I expect lots of growth and positive changes to come to you; I ask you to expect the same! We’ll work together to unblock anything that’s stopping your success, and unlock the potential we all have for a fulfilling life. Change is always possible, and that’s what I’ll help you to do.

Becca Williams | Guide & Mentor: Emotional Liberation                              

Welcome! I am glad to be working with you.

RELATIONSHIP We are entering into a collaborative relationship dedicated to your growth and accomplishment. Coaching is not about me having all the answers, but about my helping you discover your own. We will build trust. I will challenge you, but this should always feel safe and unconditionally supportive. Of course our work is completely confidential.

CALLS Our calls or in-person visits are typically 80 minutes and scheduled from the “Individual Focused Sessions” link on my website. Our agreement may include one or more sessions per month. Choose your initial number of sessions (1, 3 or 5) or, after we meet and discuss, we can decide together. You can book sessions here: https://cannanaut.com/individual-focused-sessions/

CHANGES Dates can be adjusted to either of our needs with prior notice. Please give me at least 48-hours notice to reschedule. I'll do the same. If you must cancel a call, we will reschedule soon to maintain your monthly frequency. No show with no notice is acceptable only as an exception and may be charged. Use your sessions within our agreed upon timeframe. No refunds.  

FEE & TERM I recommend you plan for a minimum of 10 sessions and up to 12 months of coaching to see permanent changes in you and your circumstances, though there is no minimum. Payment is on-line through PayPal or charge card and is due in advance of your series (1, 3 or 5). I request 30 days notice to discontinue your work with me, so we can finish our work in a mutually powerful way.

EXTRA TIME Being here for you is part of our relationship. You may call or email me anytime and I do my best to respond appropriately to the urgency you convey. I do not bill for occasional additional contact, but will alert you if frequency or length of calls approach billable time. My personal cell is: 727-510-9163; leave a detailed message if I do not answer. E-mail contact is encouraged anytime: Becca@cannanaut.com.

I, the undersigned, agree that I am personally responsible for the actions I take as a coaching client. As such, I do not hold Becca Williams, Cannanaut nor its affiliates liable for consequences of my actions, or lack thereof.  I understand that Becca Williams is a professional Life Coach, Registered Dietitian & Nutritionist and certified in Emotional Liberation techniques, and is not an Employment Agent, Business Manager, Financial Consultant, Psychotherapist, nor Counselor.
 

This agreement relates to Emotional Liberation events, which includes Elevation Ceremonies, workshops and personal coaching sessions.

Please read the following information and agree to accept. If you have any questions connect with me.

Emotional Liberation events are intended as personal growth experiences and should not be looked upon as a substitute for psychotherapy.

Emotional Liberation events can involve dramatic experiences accompanied by strong emotional and physical release.

These practices are not appropriate for pregnant women, or for persons with cardiovascular problems including heart attacks, severe hypertension, severe mental illness, recent surgery or fractures, glaucoma, retinal detachment, osteoporosis, acute infectious illness, or epilepsy. If you have asthma please bring your inhaler to the event.

 

PLEASE READ AND AGREE TO THE FOLLOWING STATEMENTS:

I certify that I do not have any of the above medical or mental health contraindications and can safely participate in Emotional Liberation events. I will come hydrated and in good health.

I Agree

 

I understand Emotional Liberation events are intended as personal growth experiences and should not be used as a substitute for psychotherapy or medical treatment.

I Agree

 

I understand that Emotional Liberation events could involve dramatic experiences accompanied by strong emotional and physical release.

I Agree

 

Emotional Liberation Event Participant Contract Release, Waiver and indemnity of Liability Agreement

This form must be completed by the Emotional Liberation Participate at the first event (“Program”).

This agreement (“AGREEMENT”) is entered into by Emotional Liberation Participant and Becca Williams International LLC, its officers, agents, principals, employees and volunteers (hereinafter collectively referred to as “BWI”).

In consideration of being admitted and permitted to participate in the activities (Elevation Ceremonies, workshops, personal coaching sessions and/or other programs), I hereby agree as follows:

 

1. This agreement is made and entered into under the laws of the State of Colorado and the United States and shall be interpreted, governed and enforced under and pursuant to these laws.

 

2. Participant agrees that should an action be brought against BWI for any reason whether to enforce the terms of this agreement or on some other basis, that all disputes between Participants and BWI will be litigated in Denver County, Colorado and Participant waives any rights he/ she may have in litigating in any other jurisdiction.

 

3. Participant has reviewed the medical contraindications outlined above and certifies that he/she does not have any medical or physical conditions which would impair or affect his/her ability to engage in any activities which would cause any risk of harm to Participant, other participants and/or BWI or otherwise endanger Participant’s health while attending an “Emotional Liberation” event or program.

 

Participant further agrees that it is Participant's responsibility to maintain the accuracy and contemporaneousness of all relevant medical information. BWI will assume that Participant’s medical statement is correct until Participant files an updated one or has corrected the information. The medical information is fully incorporated by reference within this agreement

 

4. Participant is aware that certain activities he/she may engage in during the Program are physically, emotionally and mentally stressful. Participant agrees to assume full responsibility for his/her own physical, emotional and mental health and hold harmless BWI from any physical, emotional and/or mental damage that may be attributed to Emotional Liberation events. Participant further holds harmless BWI from any and all loss, liability, injury, damage or costs which may arise out of or in connection with participation in the events.

 

5. Participant understands and agrees that he/she is attending the Program at the discretion of BWI and can be dismissed from the Program at any time without being informed of the reason for dismissal.

 

6. Participant waives, releases and discharges any and all claims, rights and/or causes of action which he/she now have or which may arise out of or in connection with participation in the Program as well as which may arise out of or in connection with Participant’s attendance and/or participation in the activities associated with the Program. Therefore, under no circumstance will Participant prosecute or present any claim for personal injury, property damage or any other cause of action against BWI.

 

7. This agreement is binding on Participant’s heirs, assignees, dependents, personal representatives and estate.

 

8. No oral representations, statements or inducements have been made to Participant to cause them to enter into this agreement.

 

9. At the choosing of BWI any claim or controversy that arises out of or relates to this agreement, or the breach of it, may be settled by arbitration in accordance with the rules of the American Arbitration Association. Such arbitration shall be binding upon the parties and Judgment upon the award rendered may be entered in any court with jurisdiction.

 

10. Should BWI be successful in bringing an action to enforce the terms hereof or successful in defending itself from a suit brought by Participant, BWI shall recover all costs and expenses incurred in such action, including reasonable attorneys’ fees.

 

11. Should any provision of this agreement be held invalid or illegal, such illegality shall not invalidate the remainder of this Agreement. In that event, this Agreement shall be construed as if it did not contain the invalid or illegal part, and the rights and obligations of the parties shall be construed and enforced accordingly.

 

I have read this agreement and understand it contains release of all claims language for injuries and damages. I voluntarily sign my name evidencing acceptance of the provisions of this agreement. If English is not my native language I have either studied enough English to be able to read and understand this agreement, or I've had this agreement explained to me in my native language.

 

Please select who will be participating and click through.

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Billing Address

Billing Address *
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Second Participant's Billing Address

Billing Address *
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Third Participant's Billing Address

Billing Address *
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Billing Address

Billing Address *
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Billing Address

Billing Address *
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Billing Address

Billing Address *
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Billing Address

Billing Address *
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Billing Address

Billing Address *
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Billing Address

Billing Address *
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Billing Address

Billing Address *
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Billing Address

Billing Address *
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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