K

Kingdom Wellness

CENTER

Parental Consent Form

Required for all teens under 18 participating in our Teen Personal Development coaching program.

Important Information

  • • Coaching is not therapy or medical treatment
  • • All sessions are confidential unless there is risk of harm
  • • Parent involvement and support is encouraged
  • • You may withdraw consent at any time
Consent Form

Teen Information

Parent/Guardian Information

Emergency Contact

Additional Information

Consent Agreement

I, [Your Name], hereby give consent for my child/ward, [Teen's Name], to participate in coaching sessions with Kingdom Wellness Center.


I understand that:

  • Coaching is not therapy or medical treatment
  • The coach will maintain confidentiality except in cases where there is risk of harm
  • I agree to support my teen in their coaching journey
  • I commit to open communication with the coach as needed
  • I may withdraw this consent at any time

By typing your name above, you are providing your digital signature and agreeing to this consent form.