Personal Bucket List

PERSONAL BUCKET LIST AGREEMENT

Agreement Date:    Individual Name:    Accountability Partner Name:

WHEREAS

WHEREAS, Individual is desirous of identifying, recording and pursuing a list of personal goals, experiences and achievements (the "Bucket List") for the purpose of personal enrichment, health, education and well-being; and

WHEREAS, Accountability Partner has agreed to provide support, coaching, planning assistance and periodic review sessions as set forth in this Agreement to assist Individual in achieving items on the Bucket List; and

WHEREAS, the parties intend this Agreement to set forth their respective roles, expectations, confidentiality obligations and any consideration for services provided by Accountability Partner.

SCOPE OF WORK

The Accountability Partner will provide planning, progress review, recommended resources, and periodic check-ins for items recorded in the Bucket List below. Individual remains solely responsible for executing, funding and assuming risks associated with each item. The parties agree the following list is an initial, non-exhaustive schedule of items to pursue.

BUCKET LIST ITEMS

Instructions: For each item enter a concise description, a target date, priority (High/Med/Low) and check if completed.

1. Item:    Target Date:    Priority:    Completed:

2. Item:    Target Date:    Priority:    Completed:

3. Item:    Target Date:    Priority:    Completed:

4. Item:    Target Date:    Priority:    Completed:

5. Item:    Target Date:    Priority:    Completed:

PAYMENT TERMS

If Accountability Partner provides paid coaching, planning or logistics services, Individual agrees to compensate as set forth below.

TERM AND TERMINATION

This Agreement shall commence on Start Date and shall continue until End Date unless earlier terminated in accordance with this section.

Start Date:    End Date:    Notice Period for Termination:

Either party may terminate this Agreement for convenience upon providing the required written notice. Either party may terminate immediately for material breach by the other party that remains uncured for a period of 14 days after written notice of such breach, or upon insolvency of the other party.

CONFIDENTIALITY

The parties acknowledge that Individual may disclose personal, financial, health or other sensitive information in connection with items on the Bucket List. Accountability Partner shall maintain the confidentiality of such information and shall not disclose any confidential information to third parties except as required by law or with the express written consent of Individual. Confidential information does not include information that is or becomes publicly available through no fault of the receiving party or information independently developed by the receiving party without use of the disclosing party's confidential information.

GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of the state selected by the parties. Any dispute arising out of or relating to this Agreement shall be subject to the exclusive jurisdiction of the state and federal courts located in the agreed jurisdiction.

ENTIRE AGREEMENT

This Agreement constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, understandings, negotiations and discussions, whether oral or written. Any amendment or modification of this Agreement must be in writing and signed by both parties.

ADDITIONAL PROVISIONS

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