New Client Application (2024)

In-Person Fitness Coaching Application

Hello, I’m Brittany! I am a Personal Trainer at The Grid Fitness Club in Rancho Cucamonga, CA. I help others break down barriers to sustainable fitness and embrace healthy habit formation. I am committed to helping you become the greatest YOU through mindset, exercise, education and nutrition. I am currently accepting clients for in-person 1-on-1 and Small Group Strength Training. Please complete the application below. Once submitted, I will review your application and contact you to schedule a personalized assessment to help determine your current fitness level, body composition, and roadmap to building a healthier, happier, STRONGER YOU!
What is your full name?*

First NameLast Name
What is your email address?*
example@example.com
What is your phone number?*
Please enter a valid phone number.
Instagram username:*
Example: @gymbrat__
How did you find out about me?
Instagram, word of mouth, business card, etc…
What is your fitness experience level?*

BeginnerIntermediateAdvanced
What is your age, height and weight?*
If you do not know your exact weight, please use your best judgement to estimate your weight
What are your current fitness goals you would like to accomplish this year? What are you looking to change most about your body and lifestyle?*
Have you worked with a personal trainer before? If yes, what did you like and dislike about the experience?
How do you think I can help you?*
Do you have any current or past injuries or medical conditions that may affect your ability to exercise? If yes, please provide details:*
How often do you want to meet for coaching sessions?*

Once a weekTwice a weekThree times a weekOther
What days of the week work best for you?*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
What times work best for you?*

Early mornings: 6AM - 10AMLate mornings: 10AM - 12PMAfternoons: 12PM - 4PMEvenings: 4PM - 10PM
I acknowledge that I have consulted with my physical or other health care provider before, during, and after seeking nutrition and/or fitness consultation. Any information provided is not to be followed without prior approval of my doctor. If I choose to use this information without such approval, I agree to accept full responsibility for my decision.*

I acknowledgeI decline
A 24 hour notice minimum is required if you need to reschedule your appointment. Maximum 2 reschedules permitted per month.*

I acknowledgeI decline
I have a 15 minute grace period from the start of my scheduled appointment before it is cancelled (no-show). I will not be able to reschedule this appointment.*

I acknowledgeI decline
I acknowledge after the second no-call, no-show, all appointments are cancelled for the remainder of the month and are non-refundable.*

I acknowledgeI decline
I acknowledge that I can only reschedule 2 sessions per month (completed within 30 days).*

I acknowledgeI decline
I acknowledge that all payments are final and non-refundable*

I acknowledgeI decline
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In-Person Fitness Coaching Application