Client Registration

Client Registration

Personal Training and/or Online Coaching Registration with Lee Reeves
Section 1 - Personal Information
Data Protection

Lee Reeves collects and processes information about his clients. The General Data Protection Regulation (GDPR) requires Lee Reeves to obtain your agreement before collecting and processing your data.

By selecting the consent option below, you are giving me consent to manage your personal information, in accordance with GDPR guidelines.

Lee Reeves has procedures in place to ensure that all information held about you will be dealt with confidentally and handled securely.

Lee Reeves may contact you in relation to your agreement and/or their products and services. Please indicate your preferences for recieving communications from us by ticking the relevant boxes below.
I consent to be contacted by Lee Reeves, by the following methods

PhoneEmail
GDPR Consent

I consent and agree for Lee Reeves to process my data under GDPR guidelinesI do not consent to Lee Reeves processing my data under GDPR guidelines
Personal Information

First NameLast Name
Address

Street Address

Street Address Line 2

CityTown

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.

Section 2 - PAR-Q

Physical Actviity Readiness Questionnaire
Has your doctor advised that you should not participate in physical activity?
Has your doctor ever diagnosed you with a heart condition and advised you to only participate in physical activity recommended by a doctor?
Do you suffer from asthma, or have breathing difficulties?
Are you pregnant or post-natal?
Have you been hospitalised in the last three years?
Do you feel pain in your chest when you do physical exercise?
In the past month have you had chest pain when you were not doing physical activity?
Are you taking any medication?
Do you lose your balance because of dizziness or do you ever lose consciousness?
Do you have a bone or joint problem that could be made worse by a change in your physical activity?
Do you suffer from diabetes or epilepsy?
Do you suffer from an allergy?
Are you taking prescription drugs for blood pressure or a heart condition?
Do you know of any other reason why you should not participate in physical activity?
Section 3 - Client Declaration
i) I accept that participating in physical activity carries a degree of risk, and having considered this, I am happy to participate.

ii) Lee Reeves strongly advises that if you suffer from any medical condition(s) and/or have an existing injury, that you consult your doctor or physician before taking part in any physical activity. Lee Reeves is not a medical care provider; thus, he is unable to diagnose, examine or treat any medical conditions you may be experiencing.

iii) If you engage in any exercise, you agree that you do so at your own risk, are voluntarily participating in these activities, assume all risk of injury to yourself, and agree to release and discharge Lee Reeves from any and all claims or causes of action, known or unknown, arising out of Lee Reeves negligence.

iv) I give Lee Reeves permisson to use my email and personal information provided above, for the purpose of coaching.

v) I agree that both parties can give a minimum of 6 hours notice regarding session cancellations, and agree that any sessions cancelled will be held as credit to be used against the following months payment.
Signature

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Client Registration

Section 1 - Personal Information

Section 2 - PAR-Q

Section 3 - Client Declaration