Personal Training Consultation Form
Please complete this form before starting your free intro session.
Your information:
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone number
*
Date of Birth
*
-
Month
-
Day
Year
Date
How would you describe your current fitness level?
*
Beginner
Intermediate
Advanced
What are your current fitness goals? Select all that apply
*
Lose weight
Gain strength
Gain muscle
Tone up (Lose weight and gain some lean muscle)
Other (please specify in the box below)
Are you currently taking any medications that could affect your ability to exercise safely?
No
Yes (please specify in the box below)
Do you have any injuries, health issues that may affect your ability to exercise safely
No
Yes (Please specify in the box below)
Waiver & informed consent form
*
I understand that participating in personal training sessions involves physical activity and carries a risk of injury, illness, or, in rare cases, death. I confirm that I have disclosed any relevant medical conditions to my trainer and agree to exercise within my own limits. I will inform my trainer immediately if I feel pain, dizziness, or discomfort during any session. I accept full responsibility for my participation and release my trainer from any liability for injury, illness, death, or loss that may occur during or after in-person one-to-one sessions, to the fullest extent permitted by law. By signing below, I confirm that I have read and understood this waiver and agree to its terms.
Age Requirement: By participating in personal training services, I confirm that I am at least 18 years of age.
Signature
Date
*
-
Month
-
Day
Year
Date
Continue
Continue
Should be Empty: