6-Week Breath as Belonging 1:1 Contract

BREATH AS BELONGING 1:1

6-Week Coaching Agreement & Client Intake

This Agreement is made between Jessica Pietsek with BEHOLD Breath & Soul Coaching ("Coach") and the undersigned client ("Client"). By signing below, you confirm you have already agreed to enroll in the Breath as Belonging 1:1 6-week course and you are ready to begin.

What to Expect (6 weeks)

Session Structure

Six (6) 1:1 sessions over approximately six weeks (scheduled by mutual agreement).
Each session includes intention-setting, guided breathwork, integration, and next-step practices.
You’ll receive simple between-session practices to support nervous system regulation and embodiment.

Your Support & Communication

You can reach out between sessions for brief support and clarifying questions (response times vary; not crisis support).
We will set up to meet weekly with each meeting scheduled.

What You May Experience

Shifts in energy, emotion, and body sensations during or after sessions.
Increased awareness of patterns, needs, boundaries, and inner resources.
A deeper sense of belonging in your body—through breath, presence, and practice.

Breath As Belonging 1:1 Coaching Agreement

Purpose
This agreement is an invitation into a coaching relationship rooted in presence, awareness, and wholeness. Together, we create space to slow down, listen, and respond to what is unfolding within you.

Breath coaching is a guided process using intentional breathing, reflection, and gentle awareness practices to support your mental, physical, emotional, and spiritual well-being. It is not therapy or medical treatment, but a complementary and supportive practice.

Client Responsibilities
By stepping into this space, you agree to:

Take responsibility for your own well-being, choices, and integration of what you experience
Engage with honesty, openness, and curiosity
Honor your body by participating at a pace that feels safe and appropriate for you
Share any relevant physical or emotional conditions (including past trauma, anxiety, or substance use) that may impact your experience
Seek guidance from a licensed professional if you are currently under medical or mental health care
Communicate clearly if discomfort arises during any practice
Show up with a willingness to be present: to yourself and within the group or session space

Fees & Payment

Investment: $450 for a 6-week coaching experience paid in ful
Optional: 2 $250 payments
Sessions are to be completed within 8 weeks of the start date.

Unpaid balances may be subject to collection or recovery processes.

Refund Policy
This coaching space is intentionally created and held with care, and your commitment secures your place within it. For this reason, all payments are non-refundable once registration is complete.

Thank you for honoring the time, preparation, and presence that goes into this experience.

Cancellations & Missed Sessions

24-hour notice is required for cancellations
Late cancellations or missed sessions will incur a $25 fee or forfeiture of the session
One emergency "life happens" reschedule is allowed with at least 2 hours’ notice during the program
Sessions will begin on time; if more than 5 minutes late without communication, the session is considered forfeited

Confidentiality
What is shared in this space is held with care and confidentiality.

Exceptions include:

Written permission from the client
Situations where there is risk of harm to yourself or others, in which case appropriate support or authorities may be contacted as required

Disclaimers

Breath coaching does not diagnose or treat physical or mental health conditions
This is not a substitute for therapy, medical care, or professional advice
Outcomes are not guaranteed; each individual’s experience is unique
You are encouraged to seek additional professional support when needed

Coach’s Worldview
Jessica Pietsek is a Christian coach who holds space from a Biblical foundation, honoring the connection between breath, body, and spirit.

You are not required to share this belief system. You are always welcome to communicate your preferences, boundaries, or desires regarding the integration of faith in your sessions.

Amount to be charged:

Payment Info

Client Agreements (initial each)

Please initial next to each statement to confirm your understanding.

Coaching relationship

I understand this is a coaching container focused on breath, embodiment, and personal growth. It is not psychotherapy, medical care, or a substitute for professional mental health treatment.

Initials:

Personal responsibility

I am responsible for my own wellbeing during and between sessions. I will communicate honestly about my capacity, needs, and boundaries.

Initials:

Breathwork safety

I will inform the Coach of any relevant medical conditions, medications, pregnancy status, or mental health concerns that may impact breathwork. I understand I can pause, slow down, or stop at any time.

Initials:

Confidentiality

What you share in sessions is held in confidence, except where disclosure is required by law (for example, risk of harm to self/others or abuse reporting requirements).

Initials:

Attendance & rescheduling

I agree to attend sessions on time and to provide notice if I need to reschedule. I understand that repeated late cancellations may limit availability and continuity of care.

Initials:

Payment

I understand the program fee and payment plan (if applicable) have been agreed to separately, and I commit to completing payment as arranged.

Initials:

Note: If you are currently in therapy or under medical care, you are welcome here. Please continue working with your licensed providers as needed.