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Registration and Agreement Form 
(completed after consultation)

Information about person attending session:

Agreement:  I, client, agree to receive help and will show up 100% to the sessions.  I will be ready to interact and make changes to empower myself.  I, Susan, agree to show up 100% for you.  I will be ready to coach and teach you basic concepts and simple tools to help empower you.  Our session is confidential.  I, or my guardian, agree to pay the scheduled amount(s) per our discussion.   Need to Cancel?: I agree to email LifeCoach@burh.Life at least 24 hours prior to session and reschedule by booking another session online.  I have read and understand this agreement.  By clicking 'I agree', I agree to the above for myself or child if client is under 18 years of age.

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