Client information form

Client Contact Information

First

Last

Email Address

Address Line 1

Address Line 2

City

State/Province

Postal code

Country

Cell Phone

Additional Phone

FaceTime Contact Number

Athlete's Date of Birth

Your Sport Information

Your Sport / Performance Area

Coach's Name

Coach's phone (if appropiate)

What is getting in your way of your training/performance right now?

If you had a magic wand and could change how you show up in your sport/performance/training what would be different?

History of sports injuries/upsetting events

Parent/Guardian Contact Information (if appropriate)

Name, phone and email

Client Acknowledgement & Consent: By checking each item below, I acknowledge and agree to the following:

Sessions & Cancelations: I understand that sessions will be held remotely via Zoom, FaceTime or another mutually agreed-upon platform. I agree to provide at least 24 hours' notice if I need to cancel or reschedule a session. Sessions cancelled with less than 24 hours' notice will be changed in full.

Nature of Services: I understand that Sara Vatore provides peak performance coaching and related educational and consulting services. Sara is not a psychologist or licensed mental health professional, and these services are not psychotherapy, psychological treatment, therapy, medical care, or a substitute for care from an appropriately licensed healthcare professional when needed. These services are not billed to or reimbursed through insurance.

Participation & Responsibility: I understand that peak performance coaching is educational and supportive in nature and that results cannot be guaranteed. I understand I am responsible for my own decisions and actions, or when I am signing on behalf of my child, for decisions concerning my child's participation.

Privacy & Confidentiality: I understand that information shared during sessions and records related to my services will be treated as private and confidential and will not be released to third parties without my written authorization, except when disclosure is required or permitted by applicable law.

Professional Consultation: I understand that Sara Vatore may consult with other professionals in the field. When possible and appropriate, identifying information will not be shared during professional consultation without my permission.

Payment: I agree to pay invoices according to the payment terms provided by Competitive Advantage. Payment instructions and available payment methods will be included with my invoice or otherwise communicated to me.

Business Relationship: I understand that Sara Vatore provides services through Somasynthesis Studios Inc. d/b/a Competitive Advantage.

Client information form

Client Contact Information

Your Sport Information

Parent/Guardian Contact Information (if appropriate)

I have read the above information and agree to each policy