Arroyo fitness

Client Name*

First NameLast Name

Phone Number*

Area CodePhone Number

Email*

example@example.com

Interested Program

	In-Person	Online
In-person or online training

Instagram Handle

what do you expect from me as your trainer ?

Days a week you prefer for training *

	1	2	3	4	5

1 is lowest, 5 is Highest

Please select the best times you can exercise.*

Early Mornings 4am-8amMornings 9am - 12pmAfternoons 12pm-5pmEvenings5 5pm-12am

What are your goals for training?

I, {clientName}, hereby acknowledge that the information I've given above is complete and accurate. I understand all the risks and I accept all the responsibility for any undesired situations during training. I am informed that my information in this form will be kept confidential. Justin Arroyo has informed me that I am the only responsible party both for all the injuries during his fitness program and incorrect information. I release and discharge Justin Arroyo from any disclosure of my personal information in this Fitness Client Intake Form. If any of my health, lifestyle or personal information/situation that may prevent my training is changed, I guarantee that I will inform Justin Arroyo immediately.

Client Signature

Arroyo fitness

Release and Acknowledgement