Keystone Fitness Questionnaire Form Logo
  • Fact sheet - Client Information

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  • Emergency Contact Information

  • Health Questionnaire (Par-Q)

  • Common sense is your best guide when you answer this questionnaire. Please read the questions carefully and answer each one honestly: check YES or NO. 

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  • Dietary Information

  • I have read, understood and completed this questionnaire. Any questions I had were answered to my full satisfaction

  • Family History

  • Client informations - Liability waiver

  • I am aware of the risks in observing or participating in the activities offered and sponsored by KEYSTONE FITNESS LIMITED and I understand that all sports or fitness that I will execute and participate in are entirely at my own risk and perils. I assume complete responsibility and liability for those risks and for the injuries that may occur as a result of these risks, even if injuries occur in a manner that is not foreseeable at the time I sign this agreement. I realize that by voluntarily assuming the risks involved, I will be solely responsible for any loss or damage I sustain, including personal injuries to me, damage to my property, or damage arising out of my death. It is understood that KEYSTONE FITNESS LIMITED is responsible for any damage that would be resulting from a fault of KEYSTONE FITNESS LIMITED and its representatives. 

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  • Client informations - 12 hour cancellation policy

  • All cancellations must be received at least 12 hours before your training session in order to avoid forfeiting your session and being charged a $50.00 late cancellation fee. Clients who do not cancel with 12 hours notice agree to forfeit thier scheduled session for the cancellation, plus agree to pay $50.00 late cancellation fee.

    KEYSTONE FITNESS LIMITED understands that emergencies happen. We provide every client with one free short-notice cancellation. Meaning your first cancellation with less than 12 hours notice, can be rescheduled to a later date and not incur late cancellation fee. Subsequent short notice cancellations will be charged late cancellation fee, plus forfeiting of training session (meaning no rescheduling possible). The free short-notice cancellation only applies if KEYSTONE FITNESS LIMITED, or your trainer is notified prior to the session start time. No shows are not eligible for the free cancellation.

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  • Client information - Signature

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