ARSENAL ALLIANZ

ARSENAL ALLIANZ

CLIENT INTAKE FORM
Client Name

First NameLast Name
Birth Date

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Email
example@example.com
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number

Area CodePhone Number
Please state if you have current/previous health diseases/issues.
Please state whether you take any medication.

Health & Lifestyle

	Yes	No
Do you smoke?
Have you had any surgery in the past year?
Do you drink alcohol?
Are you using any additional vitamins or supplements?
Are you tracking your daily food intake?
Have you you ever played sports?
Do you feel pain while working out?
Do you eat late at night?

How often do you eat breakfast?

	0	1	2	3	4	5

0 is Never, 5 is Always

How would you rate your current level of nutrition?

	0	1	2	3	4	5

0 is Poor, 5 is Excellent

How often can you train per week?
How many months can you commit to?
Please Select if interested (NOTE) This is a two month commitment program.
Please select the reasons you eat (besides hunger).

StressDepressionBoredomHappinessHabitAnnoyance
Please select the best days you can train.

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Please select the best times you can train.

Early MorningsMorningsEarly AfternoonsAfternoonsEvenings
What style of Arsenal workout are you interested in?

HIIT (high intensity interval training).Strength TrainingHIIT BoxingKettlebell FlowOther
What are your goals for training?

Development/building of musclesReducing stressIncreasing your commitment/motivationReduce body fat/weight lossTraining for an event/specific sportsOther
ARSENAL KETTLEBELL FLOW

The Trainer Suggest:

Kettlebell exercises work upper and lower body muscles, such as the hamstrings and glutes, along with upper body muscles in your back, shoulders, and arms. Since one or both feet remain on the ground during kettlebell exercises, kettlebell training is considered a low-impact workout — meaning it won't put additional strain on your joints. Arsenal KB FLOW workouts up to 4 days per week.
- Knowledge on the basic fundamentals of kettlebells
- Knowledge on to how to engage your mind-muscle connection & build core strength w/KB.
- Knowledge on how to use your body in sync with kb exercises properly.
- Nutritional Tips/Advice and recommendations.
- Professional Video testimonial (at your 90 day bench mark).
Please Select if interested (NOTE) This is a two month commitment program.
ARSENAL FUNDAMENTALS

LEARN THE BASICS:

Do you walk into the gym and feel like you just landed in a foreign country? Then you need this progam to help you be safe as well as gain the knowledge to effectively workout/opperate throughtout any gym. This is where your solid fitness foundation is built. Here's what I suggest:
- Arsenal Fundamentals workouts up to 3 days per week.
- Easy to do tracking system of your exercises and weight selections.
- A reflection bi/weekly phone/video call.
- Professional Video Testimonial (60 day bench mark).
Please Select if interested (NOTE) This is a two month commitment program.
ARSENAL GAINZ

The Trainer Suggests:

Tired of being undersized and underweight? Are you looking to put on size and weight, while gaining/building solid muscles, then you are going to need a workout that focuses on following a solid routine. Here is where your grind meets the value! This is what I would suggest.
- Arsenal Gainz workouts up to 4 days per week.
- Easy to do tracking system of your exercises and weight selections.
- Nutritional Tips/Advice and recommendations.
- A reflection of the week phone/video call.
- Once per month in person meet up (brunch/lunch).
- Professional Photo shoot (90 day bench mark).
- Professional Video Testimonial (90 day bench mark).
Please Select if interested (NOTE) This is a three month commitment program.
ARSENAL LEAN

The Trainer Suggest

If you're working on weight loss and creating lean muscle mass, then you are going to need a workout that allows you to follow a consistent routine. Here is where your grind meets the value! This is what I would suggest.
- Arsenal lean workouts up to 4 days per week.
- Knowledge on how to properly use gym equipment/weights.
- Easy to do tracking system of your exercises and weight selections.
- Nutritional Tips/Advice and recommendations.
- A reflection of the week phone/video call.
- Once per month in person meet up (brunch/lunch).
- Professional Photo Shoot (at your 90 day bench mark).
- Professional Video testimonial (at your 90 day bench mark).
Please Select if interested (NOTE) This is a three month commitment program.
ARSENAL SHRED

The Trainer Suggest

Its time to wear what you love and feel as good as you look! If this is the mindset you want, then you are going to need a workout that allows you to follow a consistent routine. Here is where you learn to workout while working "In." Your grind meets the value! Here's what I would suggest.
- Arsenal HIIT/Strength workouts 3-6 days per week.
- Knowledge on how to properly use equipment/weights in any gym/facility.
- Easy to do tracking system of your exercises and weight selections.
- Nutritional Tips/Advice and recommendations.
- A reflection of the week phone/video call.
- Once per month in person meet up (brunch/lunch).
- Professional Photo Shoot (at your 90 day bench mark).
- Professional Video testimonial (at your 90 day bench mark).
Please Select if interested (NOTE) This is a three month commitment program.
ARSENAL HIIT BOXING

The Trainer Suggest

Boxing isn't just about throwing wild punches. There's alot more that goes into it than you may think. When you're looking to begin this journey you are going to need a workout program that allows you to follow a consistent routine. Here is where your grind meets the value! Here's what I would suggest:
- Arsenal HIIT Boxing/ Strength workouts up to 4 days per week.
- Knowledge on the basic fundamentals of boxing.
- Knowledge on how to use your body weight/boxing exercises properly.
- Nutritional Tips/Advice and recommendations.
- Professional Video testimonial (at your 90 day bench mark).
Please Select if interested (NOTE) This is a three month commitment program.
WHAT IS THE VALUE OF YOUR HEALTH?

$1,100-$1,400$1,500- $2,200$85-$700Other
Terms and Conditions.

The parties agree to the following terms and conditions:
- Client is engaging ABK for personal training services to be provided by ABK’s Trainer(s). Personal Training sessions will vary depending on overall fitness goals.
- Trainer will create an exercise program geared to Client’s fitness level and
  experience in order to meet Client’s objectives.
- Client agrees to sign the attached Informed Consent and Assumption of Risk and Release of Liability.
- Client agrees to inform ABK of any and all conditions, medical or otherwise,
  that may affect his/her ability to participate in Training Sessions.
1. Training Sessions.
- Training Sessions may include, but are not limited to, the
  following activities: testing of physical fitness; exercise; aerobics and aerobic
  conditioning; cardiovascular training; weight lifting and training; and stretching.
2. Training Package and Payments.
- Client is purchasing Training Sessions/ packages at
  a rate of (package choice/ agreed on) per Training Session. Client may pay for Training Sessions on a per session basis at the beginning of each session. All Training Sessions must be used within the alloted time given by the Trainier. This will vary based on package(s) chosen.
- The Client will pay any fees required by any facilities where the Training Sessions take place. Any fees charged by facilities are not included in the payments to ABK and are considered separate from this contract.
- Package Specific Payment(s): All package related payments are subject to a 50% down of the total amount prior to training. The remaining amount is due 45 days prior to the end of said package terms (3-months).
3. Cancellation of Training Session.
- An appointment with Trainier is a reservation. If you are unable to keep your appointment, we require at least a 24 hour notice, or a fee of $50 will incur for a last minute no call, no show.
- If you have booked your Trainier for one of the Trainier Suggestion packages you are hereby locked into the total pricing of said package. If you cancel after the initial booked slot/ schedule you are responsible in making sure the remaining amount of the package total is paid within (30) days. A late fee of $50 per day will incure everyday after the (30) days until fully paid.
4. Indemnity.
- Client agrees to indemnify and hold harmless ABK for any injuries,
  illnesses, and the like experienced as the result of Client’s Training Sessions.
5. Termination.
- Either Party may terminate this Contract upon (45) days
  prior written notice to the other party. In the event of termination by either
  Party, ABK shall refund Client all monies paid for any unused Training Sessions.
6. Warranties.
- While ABK fully believes exercise, specifically exercise personalized
  to Client, is beneficial to Client’s health and wellness, ABK cannot guarantee the results of Training Sessions. ABK makes no representations and/or warranties that Client will lose weight, gain muscle mass, be able to engage in any specific physical and/or athletic activity, or will attain any other particular and/or specific results. ABK strongly encourages Client to follow a healthy diet in conjunction with personal training and continued exercise.
7. Entire Agreement.
- This document reflects the entire agreement between the
  Parties and reflects a complete understanding of the Parties with respect to the subject matter. This Contract supersedes all prior written and oral
  representations. The Contract may not be amended, altered or supplemented except in writing signed by both ABK and Client.
8. Dispute Resolution and Legal Fees.
- In the event of a dispute arising out of this
  Contract that cannot be resolved by mutual agreement, the Parties agree to
  engage in mediation. If the matter cannot be resolved through mediation, and legal action ensues, the successful party will be entitled to its legal fees, including, but not limited to its attorneys’ fees.
9. Legal and Binding Contract.
- This Contract is legal and binding between the
  Parties as stated above. This Contract may be entered into and is legal andbinding both in the United States and throughout Europe. The Parties each represent that they have the authority to enter into this Contract.
10. Severability.
- If any provision of this Contract shall be held to be invalid or
  unenforceable for any reason, the remaining provisions shall continue to be
  valid and enforceable. If the Court finds that any provision of this Contract is invalid or unenforceable, but that by limiting such provision it would become valid and enforceable, then such provision shall be deemed to be written, construed, and enforced as so limited.
11. Waiver.
- The failure of either party to enforce any provision of this Contract shall
  not be construed as a waiver or limitation of that party’s right to subsequently enforce and compel strict compliance with every provision of this Contract.
12. Applicable Law.
- This Contract shall be governed and construed in accordance
  with the laws of the state of Arizona.
Client Signature

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