Parent Consent and Agreement Form

This Performance Coaching Parent Consent Form is between Itzik Rapaport and the Parent/Legal Guardian of the Client to give consent for Mental Coaching with your son/daughter/ward.

Payments and Cancelations

Parent must leave a credit card on file. Parent can pay cash, charge or Venmo prior to each session. In the event of cancelation or reschedule Parent must notify 24 hours in advance, otherwise they agree to be charged for the session.


Credit Card Charges will appear as "Mental Coach Pro"


Ticking the boxes above indicate consent and a full understanding of the Coaching Parent Consent Form with the information outlined above. 

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