Consent form

The Conditioning Academy and Online Coaching Consultation & Consent form.

*Members will be unable to proceed in the academy without the completion of this form*
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Email*
example@example.com
Consultation:
Improve AppearanceImprove Cardiovascular FitnessImprove FlexibilityImprove General HealthImprove Muscular DefinitionImprove Muscular SizeImprove Muscular Strength & PowerImprove SpeedImprove Sports PerformanceReduce StressWeight LossImprove PostureOther
Name any specific area's that you are looking to improve. E.G Glutes or Pull Up Strength.
I exercise regularlyI used to exercise regularlyI have never exercised regularly
Very LowLowFairGoodVery Good
Very LowLowFairGoodVery Good
MondayTuesdayWednesdayThursdayFridaySaturdaySunday
GymHomeMixed
Please tell me about your gym or home set up. E.G Equipment available.
E.G: equipment & space available.
Please state any injuries you have or have caused you serious issue in the past. If non put "N/A"
Please state if you are undergoing any forms of treatment for injuries or illnesses. If non put "N/A"
Please list any exercises you have previously had difficulty performing. If non put "N/A.
What would you say is the biggest barrier that you may face during your training, An example being long hours at work?
JD Gyms Conditions

**This will not effect you if you are academy only**
Procedure:
- I understand any injuries / illnesses must be reported to the trainer prior to the session.
- I understand the trainer can refer the session if an injury is reported and the client is at risk of injury.
- I understand payment by the client must be made before the session and the trainer has the right to refuse service if this payment has not been made.
Cancellations:
- I understand that in the event I must cancel a session, I must give 24 Hours notice.
- I understand failure to provide 24 hours notice will mean I am not entitled to a refund.
- If more than 24 hours noticed are provided, the trainer may offer a chance to rearrange the session rather than refund.
Refunds:
- I understand sessions are non refundable excluding cancellations with more than 24 hours notice.
- I understand that any sessions cancelled by the trainer will be fully refunded or rescheduled.
- If in any situation whereby the client is owed sessions that the trainer cannot complete, the sessions will be refunded or rescheduled.
By signing below, I understand the terms and conditions mentioned within this form and am willing to fully comply with the above as stated.
Consent form

This is for online and one to one meaning some of these may not apply to you.
- I understand that my medical conditons have been collected to ensure safety of clients (Online Coaching Only)
- I understand that my medical details have been taken in this consulton form to ensure client safety (Online Coaching Only)
- I understand that the trainer has maintained a level 3 personal training qualitifcation however some of the knowledge provided may be a collection of the trainers own knowledge and experiences.
- I understand that the trainer is not liable for any injuries that occur on during this program.
- I understand that any program has not been medically certified.
- I understand that any data collected can be shared by the trainer excluding personal information.
- I understand that any photos collected can be shared by the trainer (However if this is a concern do speak to me).
- I understand that these conditions will remain throughout the duration of my training with Jamie, JD Gyms & The Conditioning Academy.
- I understand that I have filled in a Consultation form to ensure my own safety and the protection of the coaches involved.
- I agree that all knowledge provided on the Consultation is correct to the best of my knowledge.
By signing below, I understand the terms and conditions mentioned within this form and am willing to fully comply with the above as stated.
Date*

MonthDayYear
Date
Signature*

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The Conditioning Academy and Online Coaching Consultation & Consent form.

Consultation:

JD Gyms Conditions

Consent form