Personal Training Intake Form

***PLEASE READ BEFORE PROCEEDING**

1.) CANCELLATIONS. Cancellations should be made at least 24 hours in advance of a scheduled session. Sessions cancelled less than 24 hours in advance will be charged in full to the client. Should the client choose to stop training, they must give a 30 day notice either verbally or in writing. 2.)FEES. Training fees are NON REFUNDABLE once paid and must be received in full before training slot is reserved. Payments will be due at the beginning of each month unless other payment options are discussed PRIOR to the start of the new month. 3.)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. 4.) LOCATION. Training is conducted at 5055 Covington Way Suite 2 Memphis, TN 38134.

---------------------------------------------------------------------------------------------

** Payment must be sent IMMEDIATELY for your training slot to be reserved**

Payment options:

Apple Cash OR Zelle: 901-937-9441

Cash App: $EricaJordan901

I have read, understand and will comply with all of the above statements.

All of the information I am providing 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.

Name

First NameLast Name

Birthday:

E-mail

example@example.com

Phone Number

Area CodePhone Number

Current Occupation

What is your daily activity level at your job?

Please list any physical activities that you participate in:

Are you currently exercising?

Have you worked with a personal trainer before?

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

If yes to the previous question, please provide your facebook and IG handle

Are you a smoker?

If you have any injuries or physical limitations, please list them.

Please list any diagnosed condition(s)and any medications you are current taking.

What is your overall goal with training?

Timeline for achieving your goals

When would you like to begin training?

Date

What days/times would you like to train?

Available Days/Times: M W F 5 or 5:30 am T W TH 5 pm 6 pm S 7a

Is there anything else you would like for me to know?

Training Packages

8 sessions (2x/week)

**Recommended for those who already workout or those to who just want to maintain their current physique**

What’s included:

✔️ 2 group training sessions a week

✔️2 off day workouts accessed through client app

✔️ Nutrition guide w/supplement list.

✔️ Free sessions on Saturday mornings.

$200.00 Quantity

12 sessions (3x/week)

***FOR FASTER RESULTS OR IF YOU’RE NEW TO WORKING OUT, I highly recommend you start with this package**

What’s included:

✔️ 3 group training sessions a week

✔️2 off day workouts accessed through client app

✔️ Nutrition guide w/supplement list.

✔️ Free sessions on Saturday mornings.

Pricing is on a monthly basis.

$275.00

Enter coupon

Total

Group Training Intake Form

Training Packages