Welcome to support through the programs offered at Learning With Intention! I’m so glad you’re here, and I recognize and honor all it takes for families to find the right supports. In order to help make our time together flow with respect, boundaries, and ease, please take a moment to read the following practice policies. You may sign this form electronically or print, sign, and return it to the office at 51 Pleasant Street, Newburyport, MA, 01950. 

Client Services Agreement (“the Agreement”)

This Agreement is made effective as of the purchase & booking date by and between Learning With Intention/Parenting With Intention (hereinafter referred to as the “Coach or Company”) and the individual booking services (hereinafter referred to as the “Client”). The Client and the Coach will collectively be referred to herein as the “Parties”. By willingly purchasing and enrolling in services and programs with Coach, Client is voluntarily entering into a legally binding agreement with Coach, inclusive of the following terms and conditions, mutually agreed upon:

1)  Programs/Services Description:

  1. Individualized Coaching: Parent and/or Executive Function Coaching to take place either in-person at the Newburyport Office or via Zoom at scheduled and agreed upon times. Coaching sessions run for 50 minutes.
    1. Remote Support: Client is welcome to reach out to Coach for clarification and/or follow up questions in between sessions via email, and Coach will respond within a reasonable time frame. If remote support surpasses 20 minutes per week, Client will be charged a prorated fee for additional coaching services rendered. 
    2. Written Materials: As part of the Individualized Coaching program, Client may receive written and/or visual materials to support learning of concepts being taught within sessions. Client will respect Intellectual Property agreements as outlined further in this agreement. 
  1. Nervous System Reset Sessions: Nervous System Reset coaching sessions offer a unique combination of Reiki, intuitive energy practices, applied polyvagal practices, and Integrative Somatic Parts Work. Sessions take place in person at the Newburyport office and run for 60 minutes. 

Cancellation Policy

In establishing this cancellation policy, the intention is to create clear expectations and boundaries around our time together, ensuring a respectful and safe coaching container. Our time is our most valuable resource. With that in mind, the following boundaries around our time together will be in place: 

2) Payment:

The Client will pay the Investment pursuant to the following terms:

Investment: 1-time payment of $120 per 50-minute Individualized Coaching session or $144 per 60-minute Nervous System Reset session. 

Payment Due: Investment due on or before scheduled session date. 

Payment may be completed by credit card payment via the Acuity Scheduling link or via invoice sent to the Client.

Late / No Payments:

Payments are due on or before the date services are rendered. Late payments will not be accepted. If a payment is not made on or before the due dates stated herein, the Coach will send the Client an email with instructions on how to make immediate payment.

The Coach will not perform any additional services for the Client until payment is completed and the Client’s access to any client portal or materials may be removed until payment is made.

3) Refund Policy:

  1. No Refunds

The Coach will do everything within her ability to ensure the Client’s satisfaction with the Program. The Coach expects that the Client will do the same. Refunds will not be issued for coaching services already conducted. If, for any reason, the Coach is unable to fulfill her obligations to the Client, the Client will be refunded in full for any part of the Program paid for but not yet rendered.

  1. No Chargebacks

The Client will not, under any circumstances, issue or threaten to issue any chargebacks to the Company or to the Client’s credit card for any reason whatsoever related to the Program. In the event of a chargeback, the Company reserves its right to report it to the credit bureaus as a delinquent account.

4) Confidentiality:

The Agreement is considered a mutual non-disclosure agreement. Both Parties agree not to disclose, reveal or make use of any information learned by either party throughout the Term of the Program (“Confidential Information”). Confidential Information includes, but is not limited to, information disclosed in connection with this Agreement, and shall not include information rightfully obtained from a third party. Both Parties shall keep all Confidential Information strictly confidential by using a reasonable degree of care, but not less than the degree of care used by it in safeguarding its own Confidential Information. The obligation of the Parties hereunder to hold the information confidential does not apply to information that is subsequently acquired by either Party from a third party who has a bona fide right to make such information available without restriction. Both Parties agree that any and all Confidential Information learned as of the Effective Date shall survive the termination, revocation, or expiration of the Agreement. 

Coach respects each client’s privacy, and will not disclose anything said or shared by Client in coaching sessions without prior written consent from Client, other than in the following scenarios: 

A. Suspected abuse to another individual or self, fee or contractual dispute, unintentional breach due to electronic or online communication (including but not limited to email, text messaging, Instagram direct messaging), and phone and video recorded sessions.

B. If any services within Program include sessions via phone, Zoom, or any other form of online video or audio session, Client understands the risks and potential consequences of such sessions, including but not limited to the possibility that the transmission of information could be distorted, interrupted, or accessed by unauthorized persons. Client gives his/her informed consent to engage in phone or online video sessions as part of his/her/their coaching package.

Permitted Disclosure. Notwithstanding anything in the foregoing, the Parties may disclose Confidential Information to the extent necessary as required by law, a court of competent jurisdiction, and/or any governmental authority or agency. Where permitted by law or legally permissible, the Parties shall disclose a request for information in writing to the other prior to disclosure.

5)  Medical Disclaimer: 

The Client understands that the Coach is an Executive Functioning/Parenting Coach with a background in speech-language pathology and a Level II practitioner in the Usui tradition of Reiki. 

The Coach is not a licensed medical professional, therapist, or psychologist, and therefore the Client needs to discuss and clear any and all changes to the Client’s medical treatment with his/her/their physician before implementing changes or habits suggested by the Coach. Program and content contained within the Program is not to be considered medical advice, and nothing within the Program is intended to provide or act as a substitute for mental health treatment. Client understands and agrees that Program offers coaching services only. Client’s enrollment into Program does not make him/her/them Coach’s patient, and no therapist-patient relationship is being formed. The Client confirms that she/he/they have or will discuss any and all changes with his/her/their physician or qualified medical professional before implementing any suggested or offered changes, additions, or alterations to lifestyle.  The Client understands that the Coach is not a medical professional and/or a psychologist and Program is not providing any medical advice, is not providing any counseling or therapy services, is not a substitute to Client seeking personalized therapy, nor is it attempting to diagnose or treat any mental or physical medical conditions.

 Further, the Coach has not promised, nor shall she be obligated to: (1) provide psychological therapy, (2) assist anyone with a serious medical condition to resolve, manage, or improve that medical condition 

If at any point during Program, Coach believes Client to be in need of therapy treatment or other counseling services, Coach will advise Client of this, and offer to provide a referral to a licensed professional, if Coach knows of one in Client’s geographical area. Client has the right to refuse this referral and ignore the recommendation; however, Client may be asked to discontinue use of Program for his/her/their own well-being, until such treatment can be provided. 

6) Disclaimer: 

A. Client understands that he/she/they must actively participate in the full Program in order to see results; however, given the complex and dynamic nature of each family’s circumstances, it is not possible for specific results to be guaranteed. While many of Coach’s past and current clients have experienced a range of positive benefits and have seen significant positive shifts in overall family well-being from the Program, Coach cannot guarantee results of the Program, and cannot make any representations or guarantees regarding individual results. Client will hold Coach and Program harmless if he or she does not experience the desired results. 

7)  Intellectual Property:

A. Client agrees and understands that Coach has created numerous original, creative works in connection with the Program, and agrees that Coach maintains all copyrights and other intellectual property rights in all original or derivative content associated with or included in the Program, whether created prior to working with Client or specifically for Client, including but not limited to: documents, charts, emails, graphs, products, systems, processes, handouts, worksheets, and any other original work created by Coach. Nothing in this Agreement shall constitute a transfer of ownership of any Intellectual Property from Coach to Client, nor grant any license to use the information, other than that which is expressly provided throughout the course of the Program.

B. Client agrees and understands he/she/they are not to copy, repost, alter, publish, sell, assist others in selling, manipulate, distribute, or in any way exploit any of the content or intellectual property provided by Coach or obtained through working with Coach, without Coach’s express written consent. If such behavior is discovered or suspected, Coach reserves the right to immediately end Client’s participation in the Program without refund, as well as access to any program or materials Client may have purchased, without refund, and reserve the right to prosecute any actionable infringement or misuse to the full extent of the law.

8) Limitation of Liability

Notwithstanding anything to the contrary contained herein, the Client’s sole and exclusive remedy for negligence, failure to perform, or breach by the Coach hereunder shall be a refund of the amount paid but not earned on the Agreement. In no event shall the coach be liable to the client for any indirect, special, exemplary, punitive, or consequential damages.  

9) Indemnification

Client agrees to indemnify and hold harmless the Coach, Learning With Intention and its agents, employees, representatives, successors and assigns from all direct and third party claims, losses, expenses, fees, including attorneys’ fees, costs, and judgments that may be asserted against Learning With Intention or the Coach, by any third parties that result from the errors, negligence, acts, and/or omissions of the Client and/or the Coach.


Any controversy or claim between the Parties shall be settled by arbitration before a single, mutually agreed upon arbitrator under the then current rules of the American Arbitration Association (“AAA”). If the Parties cannot agree upon an arbitrator, then each party shall appoint one arbitrator and then both arbitrators, in turn, shall appoint a third neutral arbitrator to hear the matter. The decision and award of the arbitrator shall be final and binding and the award so rendered may be entered in a state court of Massachusetts. The arbitration hearing shall be held in the state of Massachusetts. Each party shall pay its own costs and expenses related to the arbitration, and shall split the cost of the arbitrator equally. The arbitrator will have no authority to award punitive or other non-compensatory damages to either party. No damages excluded by or in excess of any damage limitations set forth in this Agreement shall be awarded. The sole remedy for the Client shall be a refund of any amount paid to the Coach.

11) Entire Agreement

This Agreement contains the entire agreement between the Parties. There are no other promises or conditions in any other agreement (oral or written) between the Parties.

12) Severability

The provisions of this Agreement shall be deemed severable, and the invalidity or unenforceability of any provision shall not affect the validity and enforceability of any other provision hereof. If any Section, subsection, sentence, or clause of this Agreement shall be adjudged illegal, invalid, or unenforceable, such illegality, invalidity, or unenforceability shall have no effect on the Agreement as a whole or on any Section, subsection, sentence, or clause hereof not expressly so adjudged.

13) Applicable Law + Venue
This Agreement shall be governed by the laws of the state of Massachusetts. Any action brought by any party arising out of or from these Terms shall be brought within the state of Massachusetts County of Essex. 

14) Photograph and Testimonial Release

The Client grants the Coach the right, title and interest to share any and all communications, wins, screenshots of communications, or testimonials in connection with the Client’s participation in the Program for the purposes of promoting and marketing the Program across social media, advertisements, the Coach’s website, and to the Coach’s future clients. The Client understands that he/she/they will not receive any compensation for use of his/her/their likeness, testimonial, or image. The Coach will make all reasonable efforts to conceal the identity of the Client, unless otherwise granted permission by the Client to share his/her/their name or identifying information.

15) Force Majeure

In the event that any circumstances beyond or not within the reasonable control of the Parties, including, but not limited to: an act of God (such as, but not limited to, fire, explosion, earthquake, flood, tsunami, drought, tidal waves, hurricanes, etc.), pandemic, hostilities, war, invasion, curtailment or interruption of transport, threats or acts of terrorism, State Department travel advisory or warning, labor strike or civil disturbance, make it inadvisable, illegal, or impossible, either because of unreasonable increased costs or risk of injury, for either Party to perform its obligations under the Agreement, the affected Party’s performance shall be extended without liability for the period of delay or inability to perform due to such circumstances.

16) No Guarantees, Warranties or Representations

The Coach has not and does not make any warranties, guarantees, or representations, verbally or in writing, regarding the outcome or success (or the likelihood of such) in working with the Coach. The Client understands that due to the nature of the Program, the results experienced by each client may vary. The Coach does not make any guarantees other than that the Program shall be provided to the Client in accordance with the terms of the Agreement as stated herein.