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Personal Training

Personal Training Contract
Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
CANCELLATIONS:

Please notify us at least 24 hours in advance of scheduled workout, if we do not receive the requested notice for cancellation, you will lose that session and any monies paid for it.
Sessions cannot be held longer than a 3 week period at one time.
Any time taken away from your set sessions longer than 3 consecutive weeks will be lost.

Personal Training sessions cannot be used as credit for any other services.
Set days and times of sessions as agreed with your training *
Selected start date as agreed with your trainer *

MonthDayYear
Date
I hereby sign to agree that I have read and understand the above contract.
Signature

Clear
Date

MonthDayYear
Date
Personal Training

Physical Activity Readiness Questionnaire (PAR-Q)
Full Name of Individual completing the form*

First NameLast Name
Age*
Weight*
Height*
Gender
Please read the following questions carefully and check (X) next to the appropriate answers. Answer all questions honestly and to the best of your ability.

YES/ NO*

	Yes	No
Has your doctor ever said that you have a heart condition (had a stroke, heart attack, or heart surgery) and/ or that you should only do physical activity recommended by a doctor?
Do you feel pain in your chest when you do physical activity?
In the past month, have you had chest pain when you were not doing physical activity?
Do you lose your balance because of dizziness or do you ever lose consciousness?
Have you ever been told by a doctor that you have bone, joint, or muscle problems that could be made worse by physical activity?
Do you have a diagnosed illness that could be made worse by physical activity?
Is your doctor currently prescribing medication for your blood pressure or heart condition?
Do you know of any other reason why you should not do physical activity?
Is there any chance you are pregnant?
Do you drink
Do you smoke
Do you suffer with low blood pressure?
Do you suffer with high blood pressure
Is there any family history of coronary heart disease?
He the doctors ever said you have raised cholesterol?

Please list any prescribed medications below: *
Emergency Next of Kin *
Next of kin Contact number *
Relationship to you *
Fitness Participation Agreement

I have voluntarily chosen to participate in Physical Activities offered by California Fitness Ltd. I have answered the questions above to the best of my ability and affirm that my physical condition is good and I have no known conditions that would prevent me from participation. I acknowledge that participation is at my own pace and comfort level and that I may discontinue my participation at any time. Furthermore, I agree to self-determine my exertion through good judgement and to discontinue any activity that exceeds my personal limitations. I understand that by signing this agreement that I hereby waive and release California Fitness Ltd, its Board Members, staff, and all relevant employees in any way from liabilities or demands as a result of injury, loss, or adverse health conditions as a result of my participation. I affirm that I have read and understand ths document and I wish to participate in fitness activities.
Type name of Participant*
Signature of Participant:*

Clear
Type name of Parent/Caregiver.
Signature of Parent/ Caregiver:

Clear
Date*

MonthDayYear
Should be Empty: