Client Acknowledgement Form

This form is for new Personal Coaching clients of Pam Sherman that have completed the phone consultation.

Dear New Client,

I am super excited to work with you! Before we begin, please read through the following information and sign at the bottom. Upon confirmation, you’ll be able to pay online. Thank you!

Name

First Name

Last Name

Email

Disclaimer

I acknowledge: The Perfect Balance (perfectbalance.guru) offers encouraging health, fitness and nutritional information and is designed for educational purposes only. You should not rely on this information as a substitute for, nor does it replace, professional medical advice, diagnosis, or treatment. If you have any concerns or questions about your health or starting an exercise regimen, always consult with a physician or other health care professional first.

Payment

I acknowledge: Payment is due before the first session.

Liability

I acknowledge: I will not hold Pam Sherman/The Perfect Balance legally liable nor responsible for any negative health outcomes, medical issues, injuries, nor any other issues that may occur while I am a client. I understand that I am responsible for adherence to Pam's advice, any results are based on my own efforts, and that refunds are not given.

Electronic Signature

Please type your full name (first/last) below. This signifies that you have acknowledged and agreed to all of the statements above.

Today's Date

MM

DD

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