I’m so eager to begin our work together.

It’s a big deal that you’ve decided to invest in future generations by first investing in yourself.

I’m honored to get to get to be a part of your story.

Here’s what’s next:

  • Take a deep breath. This is going to be great.

  • Fill out the form below. This is a must!

  • I adore you already.

In support,
Emily

PS: One more thing! Please make sure to have something to both write on and write with when we connect; you’ll likely have at least one thought you want to jot down to remember later. x.


Name (Person 1) *
Name (Person 1)
Date of Birth (Person 1) *
Date of Birth (Person 1)
Phone (Person 1) *
Phone (Person 1)
Address (Person 1) *
Address (Person 1)
By checking this box we acknowledge that we are embarking on transformational life coaching work, and that this work is not therapy. We recognize that we are not working with a licensed therapist, and that if we need support managing acute emotional distress, we will reach out to an appropriate mental health or crisis professional in our area. We acknowledge that if through the course of our work together either of us state a clear intention to kill ourselves or anyone else, Emily Ballard is legally bound to report this information to the proper authorities in our area. We acknowledge that this work is not intended to support acute emotional distress or ongoing management of mental health symptoms, and we release Emily Ballard from responsibility for the management of our mental and emotional health. We acknowledge that the nature of coaching and other support work is fluid, which in this case means the coach (Emily Ballard) and we (clients) may jointly agree to stray from the stated content of the package we have purchased if we feel this is most beneficial for our (client’s) well-being. We recognize that this does not equal breach of contract, but a mutually agreed upon shift in direction. Lastly, we recognize that we am agreeing to pay for the package we have signed up for in full. We understand that if we (clients) have entered into a payment plan with Emily Ballard, that we (clients) may be paying for services rendered *even after* those services are received. We (clients) acknowledge that we understand the stated payment arrangement with Emily Ballard, and we agree to the terms. We understand that all coaching packages purchased via Emily Ballard are non-refundable. *
Welcome to your standard, required legalese-y statement.
Name (Person 2) *
Name (Person 2)
Date of Birth (Person 2) *
Date of Birth (Person 2)
Phone (Person 2) *
Phone (Person 2)
Address (Person 2) *
Address (Person 2)