Personal Training Consultation Form

Full Name

First NameLast Name

Gender

Date of Birth

MonthDayYear

Age

years

Height

ft

Weight

If unknown that's okay

Phone Number

Area CodePhone Number

Email

How do you prefer to be contacted?

Are you pregnant?

I am located in the Katy/Cypress area. Are you able to travel to me?

If you answered "NO" to the previous question please refer to my online program. *Do not continue form if you are unable to travel to me*

What’s your Instagram or Tiktok handle? * For security purposes*

Whats the activity level at your job?

Do you follow a regular working schedule, do you work days, afternoon or nights?

Please list the physical activities that you participate in outside of the gym and outside of work.:

If you have any diagnosed health problems list the condition(s).

If you have any injuries, please list them.

Are you experiencing any stresses or motivational problems?

Do you suffer from diabetes, asthma, high or low blood pressure?

if yes please list:

Are you a current cigarette smoker?

Please rate your readiness for change.

What following goals does best fit in with your goals?

What is your goal with your training?

TimeLine for achieving your goal.

Rows	8 WKS	16 WKS	24 WKS	32 WKS	40 WKS	1 YEAR
NOW

Are you currently excersising?

Have you trained with a personal trainer before?

At what times during the day would you prefer to train?

How often do you want to do Personal Training a week?

Please Choose

Is it okay to post photos and videos to social media of training and/or progress photos?

Liability waiver: I am aware of the risks in observing or participating in the activities offered and sponsored by FLASH FITNESS and I understand that all sports or fitness that I will execute and participate in are entirely at my own risk and perils. I assume complete responsibility and liability for those risks and for the injuries that may occur as a result of these risks, even if injuries occur in a manner that is not foreseeable at the time, I sign this agreement. I realize that by voluntarily assuming the risks involved, I will be solely responsible for any loss or damage I sustain, including personal injuries to me, damage to my property, or damage arising out of my death. It is understood that FLASH FITNESS is not responsible for any damage that would be resulting from a fault of FLASH FITNESS and its representatives.

24 Hour cancellation: All cancellations must be received at least 24h before your training session in order to avoid being charged. Clients who do not cancel with 24h notice will not have the option to make up the missed session. Please be mindful of both of our times and slots available.

FLASH FITNESS understands that emergencies happen. We provide every client with one free short-notice cancellation. You will not be charged for your first cancellation with less than 24h notice. Subsequent short notice cancellations will be charged for the session. The free short-notice cancellation only applies if FLASH FITNESS, or your trainer is noticed 2 hours prior to the session start time. You will have 30 days from your start date to complete your sessions. (NOT INCLUDING SUNDAYS) FLASHFITNESS is not responsible for the remaining sessions (if any). After the 30 days you will be required to make new payment if wanting to continue.

Weekly Session Confirmation Policy:A text message is sent out every Sunday to confirm your training schedule for the upcoming week. You must reply to confirm the exact days and times you plan to train, regardless of whether you typically train on the same days each week. A confirmation is still needed

If no confirmation is received by Sunday evening, sessions will not be scheduled for that week.

LATE POLICY: If you are 15+ minutes late your session will be cancelled & if you are wanting to still get the remaining time of your session you will have to pay $25 extra for it. If you are wanting to get a full hour you will need to pay an extra $50 for the full session. Also, if you are a no call no show more than 2 time you will NOT be able to rebook your sessions with me. Please respect my time like I do y’all’s.

Billing Policy: I authorize sending payment via zelle or cash app to FLASH FITNESS prior to sessions. NO PAYMENT NO SESSION. Once payment is sent there is NO REFUND if deciding to discontinue under any circumstance. I agree and acknowledge that I must start training within 5-7 business days once payment sent. If I do not follow through sessions will be voided.

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!

Name

First NameLast Name

Personal Training Consultation Form

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