Life Works Parenting Tools LLC - General Professional Services Contract

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Confidentiality

Information will be shared only upon written consent (except where there is risk of harm to self or another person, or as required by law). There is no recoding or posting content or comments in any form or media by clients or their proxy although Life Works Parenting Tools LLC may record at their discretion for accountability purposes. The service record shall remain the property of Life Works Parenting Tools LLC. Information obtained about persons served will be used for coaching and educational purposes, payment collection and at times, satisfaction surveys. Non-identifying information may be used by Life Works Parenting Tools LLC or statistical, research or educational purposes. Neither Life Works Parenting Tools LLC nor her notes may be called to or used for Court or Arbitration or legal purposes between clients.

 

Consultation

Consultation may be obtained in order to facilitate appropriate service.  No identifying information will be released for this purpose.

 

Billing Time

Client time and billing begins at the scheduled appointment time and ends accordingly. Cost is based on the amount of time needed to learn how to redirect child behaviour.

 

Cancellation

Missed appointments and appointments cancelled with less than 48 hours notice (not including weekends), will be billed to the client for one hour.

 

Fees

Service is provided on a fee-for-service basis. Clients agree to pay for services in advance by cash, check or credit card. In addition to direct service, you will be billed for any other time directed to your service. If a bill is submitted, payment will be due upon receipt of invoice. Delivery of work may be withheld pending receipt of any outstanding payment. Any cost incurred to collect payment on an outstanding account balance shall be added to the account. 

I understand that coaching does not involve the diagnosis or treatment of mental disorders as defined by the American Psychiatric Association.  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 diagnosis, treatment or therapy.

Educational and coaching services are not intended to constitute legal advice.You are recommended to consult with a licensed attorney for answers to specific legal questions.

Other

Sometimes circumstances arise that require other agreements prior to providing service.  These agreements will be specified when appropriate and may be set in writing. Life Works Parenting Tools LLC reserves the right to suspend or terminate service.

 

We offer various classes and coaching programs. Please review the options and select the most appropriate below. Then please scroll down to review and execute the Contract.

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Parenting Classes

DCF Family Parent Education & Family Stablization Course - A Child's Life

  • Four hour court approved course required to successfully divorce in Florida
  • Take class online 24/7, in classroom, or one-on-one personal instruction.
  • Certificate provided

Redirecting Children's Behavior Class - 6 weeks

  • One 60 minute to 2 hour weekly live webinar
  • One 30 minute weekly private follow up call 
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Coaching

Individual Coaching 6 month- Gold Package

  • 1 hour one-on-one call
  • Weekly sessions
  • Unlimited text messaging & email (M-F)
  • Individually designed action steps
  • Individual personality assessment

Individual Coaching 6 month - Silver Package

  • 30 Minutes one-on-one call
  • Weekly for 30 minutes or 1 hour bi-weekly
  • Attend anywhere via Skype or Zoom
  • Individual personality assessment

Individual Coaching 6 month - Bronze Package

  • 30 minute one-on-one call
  • Bi-weekly sessions
  • Attend anywhere via Skype or Zoom
  • Individual personality assessment

 

Titanium Family Plan - One Month

  • Four weekly 2 hour in home family visits
  • Unlimited 15 -30 min family member weekly check ins
  • Unimited text message and email support M-F before 24/7
  • Between session action steps & assignments
  • Impromtu calls as needed
  • Family personality assessment and debriefing

Platinum Family Plan - 3 months

  • Bi-monthly two hour in home family visit
  • Two 15 -30 min family member weekly call
  • Limited text message and voicemail support M-F before 9 p.m.
  • Between session action steps & assignments
  • Impromtu calls as needed
  • Family personality assessment and debriefing

Family Success Plan - 6 months

  • 1 two hour in home family visit
  • 1 30 -60 min family member weekly call
  • Limited text message and voicemail support M-F before 7 p.m.
  • Between session action steps & assignments
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If you wish for anyone to receive information, your YES response is your authorization and consent allowing the disclosure and/or transmittal of information between Susan Dockerill and/or Life Works Parenting Tools LLC and the named parties below. Information provided will be personal in nature pertaining to you and/or family and may include, reason for referral, assessment, educational suggestions, progress and consultation.

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These policies have been explained to me/us and I/we understand them and my/our responsibilities. Further, the Life Works Parenting Tools LLC coach/instructor has presented their qualifications, experience and approach to coaching. 

I/we agree to enter into coaching and/or instructor/student relationship knowing that we can terminate at any time although fees are non-refundable. 

I/we agree that this process has been entered into voluntarily.

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Please attach a copy of a valid government issued photo id for verification purposes.

Electronic Signature

I have agreed to submit this contract by electronic means.

By signing this application electronically, I also certify that I have read and understand the legal information.

I understand that an electronic signature has the same legal effect and can be enforced the same way as a written signature. 

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Life Works Parenting Tools LLC - General Professional Services Contract

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Confidentiality

Information will be shared only upon written consent (except where there is risk of harm to self or another person, or as required by law). There is no recoding or posting content or comments in any form or media by clients or their proxy although Life Works Parenting Tools LLC may record at their discretion for accountability purposes. The service record shall remain the property of Life Works Parenting Tools LLC. Information obtained about persons served will be used for coaching and educational purposes, payment collection and at times, satisfaction surveys. Non-identifying information may be used by Life Works Parenting Tools LLC or statistical, research or educational purposes. Neither Life Works Parenting Tools LLC nor her notes may be called to or used for Court or Arbitration or legal purposes between clients.

 

Consultation

Consultation may be obtained in order to facilitate appropriate service.  No identifying information will be released for this purpose.

 

Billing Time

Client time and billing begins at the scheduled appointment time and ends accordingly. Cost is based on the amount of time needed to learn how to redirect child behaviour.

 

Cancellation

Missed appointments and appointments cancelled with less than 48 hours notice (not including weekends), will be billed to the client for one hour.

 

Fees

Service is provided on a fee-for-service basis. Clients agree to pay for services in advance by cash, check or credit card. In addition to direct service, you will be billed for any other time directed to your service. If a bill is submitted, payment will be due upon receipt of invoice. Delivery of work may be withheld pending receipt of any outstanding payment. Any cost incurred to collect payment on an outstanding account balance shall be added to the account. 

I understand that coaching does not involve the diagnosis or treatment of mental disorders as defined by the American Psychiatric Association.  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 diagnosis, treatment or therapy.

Educational and coaching services are not intended to constitute legal advice.You are recommended to consult with a licensed attorney for answers to specific legal questions.

Other

Sometimes circumstances arise that require other agreements prior to providing service.  These agreements will be specified when appropriate and may be set in writing. Life Works Parenting Tools LLC reserves the right to suspend or terminate service.

 

We offer various classes and coaching programs. Please review the options and select the most appropriate below. Then please scroll down to review and execute the Contract.

Please select the service (s) you are requesting. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Parenting Classes

DCF Family Parent Education & Family Stablization Course - A Child's Life

  • Four hour court approved course required to successfully divorce in Florida
  • Take class online 24/7, in classroom, or one-on-one personal instruction.
  • Certificate provided

Redirecting Children's Behavior Class - 6 weeks

  • One 60 minute to 2 hour weekly live webinar
  • One 30 minute weekly private follow up call 
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Coaching

Individual Coaching 6 month- Gold Package

  • 1 hour one-on-one call
  • Weekly sessions
  • Unlimited text messaging & email (M-F)
  • Individually designed action steps
  • Individual personality assessment

Individual Coaching 6 month - Silver Package

  • 30 Minutes one-on-one call
  • Weekly for 30 minutes or 1 hour bi-weekly
  • Attend anywhere via Skype or Zoom
  • Individual personality assessment

Individual Coaching 6 month - Bronze Package

  • 30 minute one-on-one call
  • Bi-weekly sessions
  • Attend anywhere via Skype or Zoom
  • Individual personality assessment

 

Titanium Family Plan - One Month

  • Four weekly 2 hour in home family visits
  • Unlimited 15 -30 min family member weekly check ins
  • Unimited text message and email support M-F before 24/7
  • Between session action steps & assignments
  • Impromtu calls as needed
  • Family personality assessment and debriefing

Platinum Family Plan - 3 months

  • Bi-monthly two hour in home family visit
  • Two 15 -30 min family member weekly call
  • Limited text message and voicemail support M-F before 9 p.m.
  • Between session action steps & assignments
  • Impromtu calls as needed
  • Family personality assessment and debriefing

Family Success Plan - 6 months

  • 1 two hour in home family visit
  • 1 30 -60 min family member weekly call
  • Limited text message and voicemail support M-F before 7 p.m.
  • Between session action steps & assignments
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These policies have been explained to me/us and I/we understand them and my/our responsibilities. Further, the Life Works Parenting Tools LLC coach/instructor has presented their qualifications, experience and approach to coaching. 

I/we agree to enter into coaching and/or instructor/student relationship knowing that we can terminate at any time although fees are non-refundable. 

I/we agree that this process has been entered into voluntarily.

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Electronic Signature

I have agreed to submit this contract by electronic means.

By signing this application electronically, I also certify that I have read and understand the legal information.

I understand that an electronic signature has the same legal effect and can be enforced the same way as a written signature. 

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Life Works Parenting Tools LLC - General Professional Services Contract

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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Confidentiality

Information will be shared only upon written consent (except where there is risk of harm to self or another person, or as required by law). There is no recoding or posting content or comments in any form or media by clients or their proxy although Life Works Parenting Tools LLC may record at their discretion for accountability purposes. The service record shall remain the property of Life Works Parenting Tools LLC. Information obtained about persons served will be used for coaching and educational purposes, payment collection and at times, satisfaction surveys. Non-identifying information may be used by Life Works Parenting Tools LLC or statistical, research or educational purposes. Neither Life Works Parenting Tools LLC nor her notes may be called to or used for Court or Arbitration or legal purposes between clients.

 

Consultation

Consultation may be obtained in order to facilitate appropriate service.  No identifying information will be released for this purpose.

 

Billing Time

Client time and billing begins at the scheduled appointment time and ends accordingly. Cost is based on the amount of time needed to learn how to redirect child behaviour.

 

Cancellation

Missed appointments and appointments cancelled with less than 48 hours notice (not including weekends), will be billed to the client for one hour.

 

Fees

Service is provided on a fee-for-service basis. Clients agree to pay for services in advance by cash, check or credit card. In addition to direct service, you will be billed for any other time directed to your service. If a bill is submitted, payment will be due upon receipt of invoice. Delivery of work may be withheld pending receipt of any outstanding payment. Any cost incurred to collect payment on an outstanding account balance shall be added to the account. 

I understand that coaching does not involve the diagnosis or treatment of mental disorders as defined by the American Psychiatric Association.  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 diagnosis, treatment or therapy.

Educational and coaching services are not intended to constitute legal advice.You are recommended to consult with a licensed attorney for answers to specific legal questions.

Other

Sometimes circumstances arise that require other agreements prior to providing service.  These agreements will be specified when appropriate and may be set in writing. Life Works Parenting Tools LLC reserves the right to suspend or terminate service.

 

We offer various classes and coaching programs. Please review the options and select the most appropriate below. Then please scroll down to review and execute the Contract.

Please select the service (s) you are requesting. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Parenting Classes

DCF Family Parent Education & Family Stablization Course - A Child's Life

  • Four hour court approved course required to successfully divorce in Florida
  • Take class online 24/7, in classroom, or one-on-one personal instruction.
  • Certificate provided

Redirecting Children's Behavior Class - 6 weeks

  • One 60 minute to 2 hour weekly live webinar
  • One 30 minute weekly private follow up call 
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Coaching

Individual Coaching 6 month- Gold Package

  • 1 hour one-on-one call
  • Weekly sessions
  • Unlimited text messaging & email (M-F)
  • Individually designed action steps
  • Individual personality assessment

Individual Coaching 6 month - Silver Package

  • 30 Minutes one-on-one call
  • Weekly for 30 minutes or 1 hour bi-weekly
  • Attend anywhere via Skype or Zoom
  • Individual personality assessment

Individual Coaching 6 month - Bronze Package

  • 30 minute one-on-one call
  • Bi-weekly sessions
  • Attend anywhere via Skype or Zoom
  • Individual personality assessment

 

Titanium Family Plan - One Month

  • Four weekly 2 hour in home family visits
  • Unlimited 15 -30 min family member weekly check ins
  • Unimited text message and email support M-F before 24/7
  • Between session action steps & assignments
  • Impromtu calls as needed
  • Family personality assessment and debriefing

Platinum Family Plan - 3 months

  • Bi-monthly two hour in home family visit
  • Two 15 -30 min family member weekly call
  • Limited text message and voicemail support M-F before 9 p.m.
  • Between session action steps & assignments
  • Impromtu calls as needed
  • Family personality assessment and debriefing

Family Success Plan - 6 months

  • 1 two hour in home family visit
  • 1 30 -60 min family member weekly call
  • Limited text message and voicemail support M-F before 7 p.m.
  • Between session action steps & assignments
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These policies have been explained to me/us and I/we understand them and my/our responsibilities. Further, the Life Works Parenting Tools LLC coach/instructor has presented their qualifications, experience and approach to coaching. 

I/we agree to enter into coaching and/or instructor/student relationship knowing that we can terminate at any time although fees are non-refundable. 

I/we agree that this process has been entered into voluntarily.

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Electronic Signature

I have agreed to submit this contract by electronic means.

By signing this application electronically, I also certify that I have read and understand the legal information.

I understand that an electronic signature has the same legal effect and can be enforced the same way as a written signature. 

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