Brianna Denise Fitness Client Intake From
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  • Brianna Denise Fitness

    Let's Get To Know Each Other
  • Birthday*
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  • Format: (000) 000-0000.
  • When is the best day to reach out to you?*
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  • Format: (000) 000-0000.
  • Medical Information

  • If you have been diagnosed with a medical or physical condition, are you approved by your doctor to exercise?*
  • Diet & Nutrition

  • How often do you consume alcoholic beverages?*
  • Exercise & Availability

  • What's Your Fitness Level?*
  • Please select the best days you can exercise.*
  • Physical & Mental Health Goals

  • What is your fitness goal?*
  • Please understand, this program includes both fitness and nutrition. You need BOTH fitness and nutrition to meet your goals. I am willing to work hard to help you meet your health and body goal. However, I cannot and will not do the work for you. Please indicate below if you are ready to put in the time and effort!*
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  • Please select your starting package*
  • Release and Acknowledgement

  • Date*
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  • I, {clientName}, hereby acknowledge that the information I've given above is complete and accurate. I understand all the risks and I accept all the responsibility for any undesired situations during training. I understand my progress will happen with consistency, self discipline, and hard work. I will train using the proper form and techniques instructed by trainer.

    I am informed that my information in this form will be kept confidential.

    Brianna Denise has informed me that I am the only responsible party both for any injuries or incorrect information. I release and discharge Brianna Denise, administration, and workers from any disclosure of my personal information in this Fitness Client Intake Form.

    If any of my health, lifestyle or personal information/situation that may prevent my training is changed, I guarantee that I will inform Brianna Denise immediately. I will not train with known injury.

  • Online Personal Training – Invoicing & Cancellation Agreement

  • This Invoicing & Cancellation Agreement ("Agreement") is entered into between Brianna Denise Fitness ("Trainer," "Company," "we," "us") and the undersigned client ("Client," "you"). By enrolling in an online personal training program and authorizing recurring payments, Client agrees to the terms outlined below.


    1. Program Enrollment & Billing Authorization
    1.1 Recurring Monthly Billing
    Client agrees to enroll in a recurring monthly billing plan for their selected online personal training program. Billing will occur on the same calendar day each month chosen by Client at the time of enrollment (the "Billing Date").

    1.2 Authorization to Charge
    Client authorizes Brianna Denise Fitness to automatically charge the payment method on file for all recurring monthly program fees, applicable taxes, and any outstanding balances.

    1.3 Billing Consistency
    The Billing Date remains fixed unless otherwise agreed to in writing. Missed, delayed, or declined payments do not change the Billing Date.


    2. 30-Day Cancellation Policy
    2.1 Required Notice
    Client must provide written notice of cancellation at least 30 days prior to their next Billing Date.

    2.2 Effective Cancellation Date
    Cancellations take effect 30 days after notice is received, not immediately.

    Example:
    If Client’s Billing Date is the 15th of each month and cancellation notice is provided on January 7th, Client is still responsible for payment on January 15th. The final billing will occur on February 15th, after which the contract will terminate.

    If Client has a 3 month billing period: 

    30-Day Cancellation Requirement & Early Termination Fee
    Client may cancel this Agreement at any time by providing thirty (30) days written notice.

    If Client fails to provide the required 30-day notice, Client agrees to pay an early cancellation fee of $120.00, which will be charged to the payment method on file.

    This fee is not a penalty, but a reasonable estimate of administrative costs, scheduling impact, and lost training availability resulting from short-notice cancellation.

    Failure to provide notice does not waive payment obligations already incurred.

     

    2.3 No Prorated Refunds
    No refunds or prorated charges will be issued for partial months, unused sessions, or unused program access.


    3. Missed Workouts, Program Compliance & Make-Ups
    3.1 Client Responsibility
    Client is solely responsible for completing all assigned workouts, check-ins, and program requirements.

    3.2 Missed Days
    If Client misses any scheduled workout days, those workouts must be completed on designated rest days within the same billing cycle.

    3.3 No Rollovers
    Missed workouts will not be carried over, extended, or pushed into a future billing cycle under any circumstances.


    4. Non-Communication & Program Abandonment
    4.1 Communication Requirement
    Client agrees to maintain reasonable communication regarding schedule conflicts, travel, illness, or personal circumstances.

    4.2 Two-Week Non-Participation Clause
    If Client fails to participate in the program for 14 consecutive days or more without communication, Brianna Denise Fitness reserves the right to terminate the Agreement at its discretion.

    4.3 No Refund Upon Termination
    Termination due to non-participation or lack of communication does not entitle Client to a refund or credit.


    5. Payment Failures & Late Payments
    5.1 Declined Payments
    If a payment is declined, Client must update payment information within 48 hours.

    5.2 Continued Billing Obligation
    Failure to complete payment does not cancel the Agreement or waive payment obligations.

    5.3 Suspension of Services
    Brianna Denise Fitness reserves the right to pause program access until payment issues are resolved.


    6. No Guarantees & Assumption of Risk
    6.1 Results Disclaimer
    Results are not guaranteed. Progress depends on Client effort, consistency, nutrition adherence, and lifestyle factors.

    6.2 Assumption of Risk
    Client acknowledges that participation in fitness and training programs involves inherent risks and agrees to participate at their own risk.


    7. Contract Modifications & Enforcement
    7.1 Modifications
    This Agreement may only be modified in writing by Brianna Denise Fitness.

    7.2 Enforcement
    Failure by Brianna Denise Fitness to enforce any provision does not waive the right to enforce it later.


    8. Governing Law
    This Agreement shall be governed by and interpreted in accordance with the laws of the state in which Brianna Denise Fitness operates.


    9. Acknowledgment & Acceptance
    By signing below, Client acknowledges that they have read, understood, and agree to all terms of this Invoicing & Cancellation Agreement. Client understands that this is a binding financial agreement.

  • Date*
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