Client Agreement + Consent Form
Sex + Wellness = Swellness
The undersigned (“Client”) agrees to the following terms as of the date signed below:
 💖1. What This Is (and What It’s Not)
Welcome to SwEll peakX coaching—where we break up with “should” and step into what actually feels like you.
By signing below, you acknowledge:
- This is coaching, not therapy
- Tiffany Fox is a Swellness Coach, not a licensed therapist, psychologist, or medical provider
This work is focused on:
- Personal growth
- Relationships + intimacy
- Mindset + emotional awareness
- Sensual wellness + presence
This is not:
- Mental health therapy
- Medical advice or diagnosis
- Crisis or trauma treatment
If deeper mental health support is needed, you agree to seek care from a licensed professional.
 🔥2. Your Commitment (This Part Matters)
This isn’t passive. This is participation.
You agree to:
- Show up honestly
- Be open to reflection (even when it’s uncomfortable)
- Take responsibility for your choices and growth
We work together—
but your results come from YOU.
This is your space to:
- Stop sh*tting on yourself
- Get clear on what you want
- Actually follow through
 🕰️3. Terms and Investment
This container is intentional.
- Coaching is a 3-month experience, including up to 12 weekly calls
- At the end of this term, services may continue by entering into a new agreement
Tiffany will provide 30 days’ notice before your container ends so you have time to decide whether to continue or complete.
Investment: $3,000 USD
Payment options:
- Paid in full at the beginning, or
- 3 monthly payments of $1,000 USD
By signing, you agree:
- Monthly payments are due every 30 days
- SwEll peakX is authorized to charge the card on file
- It is your responsibility to keep payment information current
If payment is not received within 5 days of the due date:
- Services may be paused until payment is made
- Missed time will not be credited or refunded
đź’Ž4. Refund Policy
Because of the nature of this work:
- All payments are non-refundable
This is a commitment—
to yourself, your growth, and this process.
Tiffany is committed to showing up, guiding, and supporting you with integrity and intention throughout your time together.
đź“…5. Rescheduling + Missed Calls
Life happens—we honor that and we honor the container.
- You may reschedule with at least 24 hours’ notice
- You may reschedule up to 3 of the 12 calls
If:
- You miss a call, or
- Cancel with less than 24 hours’ notice
That session is forfeited and will not be made up
🤍6. Privacy + Confidentiality
Your experience matters. Your privacy matters.
However, you understand:
- Information shared will be kept private to the best of our ability, unless required by law
For group sessions:
- You agree to respect the privacy of others
- What’s shared in the room stays in the room
- Confidentiality is expected—but cannot be guaranteed in a group setting
 🚫7. No Photos, Videos, or Recordings
To protect the energy and safety of this space:
- No photos, videos, or audio recordings are allowed
- Applies to all sessions (group + private, in-person + virtual)
- Violation may result in removal without refund
This is a present moment experience—not content.
đź’‹8. Boundaries + Emotional Safety
We may talk about:
- Relationships
- Desire, intimacy, and connection
- Personal patterns and emotional layers
You always have the right to:
- Share at your comfort level
- Pause or step away
- Honor your own boundaries
This space is real, raw, and respectful.
⚡9. No Guarantees (Just Real Work)
Let’s be clear:
- Results are not guaranteed
- Transformation depends on your:
- Effort
- Readiness
- Willingness to show up differently
This work can shift your life—
but only if you actually do the work.
 🛑10. Release of Liability
By participating, you agree to release:
SwEll peakX + Tiffany Fox
from any liability related to:
- Decisions you make during or after coaching
- Emotional responses or personal breakthroughs
- Actions you take as a result of this work
You are responsible for your life—
this space supports you in owning it.
✨ 11. Agreement + Consent
By signing below, you confirm:
- You understand this is coaching—not therapy
- You agree to all policies outlined above
- You are choosing to participate fully
- You are ready to commit to your growth
 If you have any questions, please email [email protected].
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đź’–Final Note
This is your permission slip—to say “should bye” and choose a life that actually turns you on. ✨
You will get a copy of this Agreement sent to your email.
You’re not broken.
You’re disconnected from yourself.
You scanned because something in you said, “this is me.” Let’s not ignore that.
If you’ve been:
• Going through the motions
• Feeling off, numb, or disconnected
• Wondering, “I should be happy… so why don’t I feel it?”
You’re in the right place.Â
Enter to win a free 60-minute session
(1:1 or bring up to 3 friends)
👉 Real conversation.
👉 Zero pressure.
👉 You’ll feel the shift.Â