New Client Request Form

Full Name

First NameLast Name

Phone Number

Format: (000) 000-0000.

Email

example@example.com

What following goals does best fit in with your goals?

What are your goal(s)? Please be specific:

Have you ever worked with a personal trainer or nutrition coach before?

As your coach, what support would you like from me to help you achieve your goals?

What coaching options are you interested in?

How ready are you to invest in yourself and commit to your goals?

1.) CANCELLATIONS Cancellations should be made at least 24 hours in advance of a scheduled session. Sessions cancelled less than 24 hours in advance will be charged in full to the client. 2.) LATE ARRIVALS Each session shall be 1 hour in length. Sessions will not be extended (unless time is available) due to the lateness of the client or due to interruptions caused by the client. 3.) ALL THE INFORMATION I HAVE GIVEN IS CORRECT All the information on this form is correct and to the best of my knowledge. I have sought and followed any necessary medical advice. I understand that all the information given will be kept confidential.

I AGREE TO THE ABOVE TERMS & CONDITIONS