Training for adults

Personal Training Agreement Form Thank you for choosing Malcolm S., Certified Personal Trainer, to help you achieve your health and fitness goals. Please complete this form to provide the necessary information for your personalized training program.

Full Name

Date of Birth

Date

Phone Number

Email Address

example@example.com

Emergency Contact Name: Emergency Contact Phone

Emergency Contact Name

Do you have any current or past medical conditions that may affect your ability to exercise? (e.g., heart conditions, asthma, diabetes, injuries, etc Yes / No If yes, please specify:

Are you currently on any medications that may affect your fitness program? Yes / No If yes, please specify:

Desired Weight:

Current Weight:

Do you smoke or consume alcohol regularly? Yes / No

Do you have any allergies or dietary restrictions? Yes / No If yes, please specify:

Primary Health and Fitness Goals (write all that apply): Weight Loss, Increased Strength, Improved Endurance, General Fitness , Sports-Specific Training or Other:

Are currently following a specific diet plan?

5 How many days per week are you available for training

Training Packages and Payment Agreement

Training sessions are priced at $35 per session. Clients have the option to add a personalized meal plan for an additional $15 per session.

Training Only Package: $35 per session
Training + Meal Plan Package: $50 per session
By signing below, I acknowledge and agree to the pricing structure for my training sessions. I understand that payment is required before each session and that missed sessions may be subject to a cancellation fee.

Do you consent to having photos/videos taken during training sessions for personal progress tracking or promotional purposes? Yes, for both personal and promotional use Yes, for personal use only

Terms and Agreement I, the undersigned, confirm that the information provided in this form is accurate to the best of my knowledge. I understand that personal training involves physical activity and accept any associated risks. I agree to disclose any changes in my health status that may affect my participation. I also understand that Malcolm S., Certified Personal Trainer, will design a program tailored to my needs and goals and that results may vary based on individual effort and consistency.

Training session

Do you consent to photos

Client Signature

Date

Trainer Signature

Date

Thank you for your time and commitment to your health journey. Let's get started!

ADULT TRAINING