FLXR COACHING

NAME

ADDRESS

MOBILE

Area CodePhone Number

EMAIL

example@example.com

D.O.B

AGE

PREFERRED TRAINING DAY/TIME(S)

1. How often do you participate in exercise?

Not at all1 to 2 times per week1 to 2 times per month3 to 4 times per week

2. What type of exercise have, or do you enjoy?

3. Have you had any bad experiences with exercise?

4. What is your overall level of fitness?

5. How strong would you say you are?

6. How flexible would you say you are?

What are your health and fitness goals?

The Client is required to complete all neccessary plans layed out for them to complete each practise. Any un-completed activities without notice or being signed off medically will result in these not being trasfered or re-funded for future plans.

Payment for single sessions will be paid for in advance (anytime before) the start of the session. Payment for block bookings will also be paid for in advance. All purchased sessions must be completed within 12 weeks of purchase or they will be forfeited.

3 hours notice is required when cancelling booked personal training sessions. Failure to provide this sufficient notice may result in the session being forfeited. To cancel a booked session, the Client must notify the PT either in person or by phone, text or email.

If the Client is unable to continue their block of sessions for medical reasons, a refund may be available for unused sessions. The Client must submit a letter from their doctor clearly stating exercise restrictions prior to any refund being given. Refunds are not provided under any other circumstances.

The PT is only required to wait for 20 minutes past the agreed start time. After this the PT may leave the premises and the Client will forfeit the amount for the session. If the Client, arrives within the 20 minutes the PT will complete the time left of the original session. No extra time will be given.

All Online programmes, nutritional plans and other online software is to be completed at the client's discrepancy. The rules apply that all medicial issues must be cleared by a doctor before starting any programmes online with a Flexxr Personal Training member of staff.

All Online software is to be paid for in advance of the programme and any other platform used is used for confidentiallty for the client's personalised plans and information. All must be completed wihtin the set time frame of the agreed plan for all online platforms and will only be extended on mutual terms due to issues raised to the coach.

Payments must be paid on time or all online plans will be postponed until these have been paid for due to adding accountabilit for the plans and coach's.

1. Have you been diagnosed with high blood pressure, any heart condition or have you ever suffered a stroke?

2. Do you ever experience unexplained pains in your chest at rest or during physical activity/exercise?

3. Do you ever feel faint or have spells of dizziness during physical activity/exercise that cause you to lose balance?Y/N

4. Have you had an asthma attack requiring immediate medical attention in the last 12 months?

5. If you have diabetes, have you had trouble controlling your blood glucose in the last 3 months?

6. Do you have any muscle, bone, joint problems or injuries that could be made worse by physical activity/exercise?

7. Are you currently taking medication of which the instructor should be made aware?

8. Are you currently pregnant or have you had a baby in the last six months?

9. Have you had an asthma attack requiring immediate medical attention in the last 12 months?

10. Do you have any other medical condition that may be dangerous for you to participate in physical activity / exercise?

If you have answered "YES' to any of theses questions please give details below Please Note: You may also need to consult with your doctor before commencing in any physical activity/exercise

You will be set a program based upon your present activity/exercise levels and your stated goals. You will experience some feelings of exertion during each activity session and may become hot and uncomfortable at times. If your plan includes certain types of cardiovascular exercise you can expect your breathing to become more rapid and your heart rate to increase. As your fitness improves, your goals may lead you to participate in more vigorous levels of activity but these should remain within your capabilities.

Any exercise program carries with it an element of risk. The sessions are designed to minimise risk yet, at the same time, provide an effective exercise/activity program. Please inform the instructor if there is any reason why you should not participate in an activity i.e. if you have an illness or an injury that might be aggravated by exercise. If, at any time, you feel undue pain or excessive discomfort stop the activity immediately and inform the instructor of your symptoms.

I, the Client, fully understand and agree to abide by the above rules and regulations. Before embarking on an exercise program I have completed the Physical Activity Readiness Questionnaire and resulting processes. I also understand that I should inform my PT of any medical conditions that may not have been covered in the form and that I may be advised to visit my doctor prior to commencing the sessions.

I acknowledge that I have either had a physical examination and have been given my doctors permission to participate, or that I have decided to participate in the activity and/or use the equipment and machinery without the approval of my doctor and do hereby assume all responsibility for my participation and activities. I release - Shane Hurley - from any liability for personal injury or other damage I may sustain whilst engaging in any exercise program suggested by him.

Ihave answered all questions to the best of my ability and I acknowledge receipt of this agreement and confirm acceptance of the terms and conditions herein.

DATE

Date

Print Name:

SIGNATURE

PERSONAL TRAINING

CLIENT INFORMATION

PHYSICAL ACTIVITY & GOALS

TERMS & CONDITIONS

PHYSICAL ACTIVITY READINESS QUESTIONNAIRE

INFORMED CONSENT

ACKNOWLEDGEMENT