CLIENT SERVICES AGREEMENT (the “Agreement”)Client Information • September 22nd, 2022 • Hawaii
This Agreement is made effective as of DATE PURCHASED, by and between Mastering Mompreneurship LLC (hereinafter referred to as the “Coach or Company”) and (as listed above) CLIENT NAME (hereinafter referred to as the “Client”). The Client and the Coach or Company will collectively be referred to herein as the “Parties”.
The rental agreement applies to: SURNAME ……………………………………… FIRST NAME and party ADDRESS …………………………………………………………………………......…………………............Client Information • January 18th, 2019
Do you require us to book any activities on your behalf? Y/N (tick as appropriate) Do you require airport transfers? Y/N (tick as appropriate)
ContractClient Information • November 3rd, 2022
Client Information Full Name: Date of Birth: Age: If this is an appointment for a child, please provide name of parent(s) or person with whom the child resides: Who has legal custody of the child? Address: Home Phone: Mobile Phone: Email Address: Who referred you to Ms. Chambers?
ContractClient Information • August 31st, 2017
Client Information Full Name: Date of Birth: Age: If this is an appointment for a child, please provide the name of the parent(s) or person with whom the child resides: Who has legal custody of the child? Address: Home Phone: Mobile Phone: Email Address: Who referred you to Ms. Chambers?
Client InformationClient Information • April 10th, 2019
herein. I also authorize any medical treatment or diagnostic tests approved by me and deemed necessary based on findings during the initial examination.
ContractClient Information • October 7th, 2014
Client Information Full Name: Date of Birth: Age: If this is an appointment for a child, please provide name of parent(s) or person(s) with whom the child resides: Who has legal custody of the child? Address: Home Phone: Mobile Phone: Email Address: Who referred you to Dr. Rigby?
