New Client

1
Full Name
First Name
Last Name
2
Contact Information
First Name
Last Name
Please enter your phone
Please enter your email
3
Training Type:* This field is required.
One -on- One In-Person
In-Person Group Training
Virtual Group Training
Workout Plans
Virtual 1on1 Training
4
1 on 1 Training Sessions:
2 Sessions $75 Per Session
4 Sessions $70 Per Session
6 Sessions $70 Per Session
8 Sessions $60 Per Session
10 Sessions $60 Per Session
12 Sessions $50 Per Session
14 Sessions $45 Per Session
5
In-Person Group Training Sessions:
2 on 1 $50 Per Session
3 on 1 $40 Per Session
3+ $30 Per Session
6
Virtual Training Sessions:
One on One $30 Per Session
Group Sessions $20 Per Session
7
Workout Plans:
12-Weeks Plan
10-Weeks Plan
8-Weeks Plan
6-Weeks Plan
8
Any Injuries we should know about?* This field is required.
YESNO
9
Describe your injury:
10
Any diseases or disabilities we should know about?* This field is required.
YESNO
11
Describe your disease or disabilities:
12
Describe your fitness goals* This field is required.
Weight Loss
Tone
Improve Endurance
Increase Strength
Increase Muscle Mass
13
How many days can you commit weekly?* This field is required.
1 Day
2 Days
3 Days
4 Days
5 Days
6 Days
7 Days
14
TERMS AND CONDITIONS

1.) CANCELLATIONS
Cancellations should be made at least 12 hours in advance of a scheduled session. Sessions canceled less than 12 hours in advance will be charged in full to the client.

2.) LATE ARRIVALS
Each session shall be 1 hour in length. Sessions will not be extended (unless time is available) due to the lateness of the client or due to interruptions caused by the client.

3.) NO REFUND FOR THE WORKOUT PLAN
There will be no refund once payment has been sent for any customized workout plan.

4.) ALL THE INFORMATION I HAVE GIVEN IS CORRECT
All the information on this form is correct and to the best of my knowledge. I have sought and followed any necessary medical advice. I understand that all the information given will be kept confidential.

I AGREE TO THE ABOVE TERMS & CONDITIONS!
Yes No *
15
Training Liability Waiver

I First Name * , Last Name * hereby affirm that I am voluntarily starting a course of instruction in physical fitness and performance training. I am voluntarily participating in the Activity entirely at my own risk.

In full consideration of the risk of injury while participating in the Activity, and for the right to participate in the Activity, I hereby, for myself, my heirs, executors, administrators, assigns, or personal representatives, knowingly and voluntarily participate in this waiver and release of liability and hereby waive any and all rights, claims or causes of action of any kind whatsoever arising out of my participation in the Activity, their affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and assigns, for any kind of risks related to traveling to and from as well as participating the Activity, which may include, but are not limited to, physical or phycological injury, pain, suffering, illness disfigurement, temporary or permanent disability, economic or emotional loss, and death.

I acknowledge that I have carefully read this form and fully understand that it is a release of liability. I expressly agree to release and discharge the trainer or instructor from any and all claims or causes of action and I agree to voluntarily give up or waive any right that I may otherwise have to bring a legal action for personal injury or property damage.

Signature *
Should be Empty:

TERMS AND CONDITIONS

Training Liability Waiver