P3 Intake Form

1

Name

First Name

Last Name

2

Email

example@example.com

3

What is your age?

4

What is your biological sex?

Male

Female

5

Which Sport(s) do you currently participate in?

6

What is your current level of athletic experience?

Beginner

Intermediate

Advanced

Professional

7

What are your primary goals for strength and conditioning training? (Select all that apply)

Increase Strength

Improve Conditioning

Improve Physique (lose fat/gain muscle)

Prevent Injuries

Rehabilitation from injury

Sport-specific Performance

8

Do you have plans of participating in any tournament this year? Please enumerate planned competitions including their dates

9

Do you have any current or past injuries we should be aware of? Please describe.

10

How many days per week can you commit to training?

11

What type of training environment do you have access to?

Gym with full equipment

Home gym with limited equipment

No equipment available

Outdoor training spaces

12

Are you currently working with any other coaches or trainers?

Yes

No

13

Please describe your typical weekly training routine or any current programs you follow.

14

Do you have any medical conditions or physical limitations that might affect your training?

15

What is your preferred method of coaching and communication?

Video Calls

Phone Calls

Email

Messaging Apps

Training app/platform

16

How often would like to have the check-ins?

Weekly

Bi-Weekly

Only when needed (By appointment)

No need for video call check-ins, just send me video messages or looms

17

Please share any additional information or concerns you have regarding your training or injury prevention.

18

Do you consent to participate in this online coaching program and acknowledge the terms and conditions?* This field is required.

Yes

19

Pareja Prescription Performance Coaching Agreement

1. Scope of Services
The Coach will provide:

- Customized strength & conditioning training plans
- Weekly check-ins and form reviews
- 24/7 virtual support (messaging)
- Progress tracking & testing
- Lifestyle, nutrition, and recovery guidance
- Injury prevention strategies

2. Client Responsibilities
You agree to:

- Provide honest health/training info
- Follow the program and communicate issues
- Log daily weigh-ins and fill out personal trackers
- Attend all scheduled check-ins
- Upload exercise videos for form checks
- Consult a physician if you have medical conditions

3. Payment Terms

- Coaching fee: ₱15,000 per month or ₱55,000 for 4 months
- Payment is due at the start of each month
- Renewal is manual (not automatic)

4. Money-Back Guarantee
You may request a full refund within the first month if all deliverables are completed (daily weigh-ins, trackers, check-ins, and form check videos) and you are unsatisfied. This request will be subject to evaluation of performance of the assigned program as well as compliance with the provided in-app tracker.

5. Informed Consent & Waiver

- You understand training carries risks.
- You participate at your own responsibility.
- This coaching is not a substitute for medical treatment.
- The coach is not liable for injuries sustained during the program.

6. Confidentiality
- All client data and progress will be kept private and used only for coaching purposes.

✍️ Agreement
By signing on the next page, you confirm you have read, understood, and agreed to this Coaching Agreement.

20

I have read, understood, and agree to the Coaching Agreement.

21

Date