Personal Trainer Client Intake Form

What is included in Your Coaching package:

Comprehensive Health Assessment & Supplement Guidance
We’ll review your health history and (if available) recent lab work to help customize supplement recommendations. While not mandatory, lab work is strongly encouraged for tailoring your protocol.

Personalized Training Program
A program built around your lifestyle goals, whether that’s building strength, rehabilitation/mobility, improving overall fitness, or preparing for competition in a specific category.

Form & Technique Feedback
Submit your training videos for detailed feedback on form and technique adjustments so you can train safely and effectively.

Customized Nutrition Plan
Designed around your unique needs, incorporating the right balance of macro- and micronutrients. Our focus is on reducing inflammation, improving gut health, sleep quality, and managing challenges such as anxiety, bloating, high blood pressure, and insulin sensitivity, helping you perform and feel your best.

Weekly Check-Ins (Fitlog App)
You’ll submit updates each week through our coaching app. Program adjustments are made as needed based on your progress and the phase you’re in (muscle building, leaning out, recovery, or overall health focus). Everything is closely monitored to keep you on track.

Ongoing Support & Motivation
You’ll work directly with coach Bernard Richard who is dedicated to your success. Expect high attention to detail, continuous guidance, and the encouragement of a supportive RichFit community cheering you on every step of the way!

Which type of coaching best fits your goals?

Name

First NameLast Name

Email

example@example.com

Where do you live? (Province/State, Country)

Current age, height, and weight?

Please include your Social Media platform handles (Instagram and Facebook)

Method of communication is via social media or WhatsApp.

What is your Occupation? Describe level of activity, example: desk job, labour, travel, etc.

What are your current goals? Be specific, for example: lose weight, gain weight/muscle, develop a healthy lifestyle, improve strength, train for a specific event, etc.)

Which of the following statements fit in with your goals?

Athletes Only: Have you ever competed before? If yes, give past experience (how many shows, placings in the shows (if any), coached or self-coached, last year you competed?)

Describe your relationship with food? (Hard time following a diet? Can’t stop eating once I start, very controlled, it’s up and down, any previous or current eating disorders, etc)

How self-motivated are you?

Do you have any diagnosed health problems? Do you have any current or past illness/injuries that create limitations to training and nutrition programs?

Athletes Only: Please upload current physique photos (front, side, back) in your poses, if known, for assessment purposes with your Coach.

What date would you like to start with RichFit Coaching?

Date

Is there anything else you would like to share with us that is not on this application form?

Payment & Renewal Policy

Upfront Payment

Once your application is approved, payment is required before your program is developed. You’ll be contacted via your preferred communication method with the status of your application.

Monthly Renewal

If you’ve chosen the monthly package, your renewal will occur one month after your actual start date (not your payment date).

Coaching Rates
Monthly Coaching Package: $230–$300 + tax

Flexible, no long-term commitment.
Cancel anytime with notice before your renewal date.

Payment Methods

Within Canada: E-Transfer to Richfitcoaching@outlook.com
(Please use password: “coaching”)
Outside Canada: If e-transfer is not possible, we can arrange secure payment through PayPal.

1. Acknowledgment of Risks I acknowledge that I have voluntarily enrolled in an online coaching program provided by RichFit Coaching, which may include fitness training, nutrition guidance, mindset support, and/or lifestyle advice. I understand that participation in any physical activity or nutritional change can carry inherent risks, including but not limited to injury, illness, and even death.

2. Medical Clearance I confirm that I am physically capable of participating in this program and have either consulted with a physician or voluntarily chosen not to do so. I agree to notify the coach of any existing injuries, medical conditions, or limitations that may affect my participation.

3. Assumption of Responsibility I accept full responsibility for my health, well-being, and all decisions made during my coaching program. I understand that the coach is not a medical professional and that any advice or recommendations are for informational purposes only.

4. Limitation of Liability I agree to release, waive, and discharge RichFit Coaching, its coaches, agents, and affiliates from any and all claims or liabilities arising from my participation in the coaching program, including any injury, loss, or damage.

5. No Guarantees I understand that results from the coaching program vary and are not guaranteed. My success depends on my effort, consistency, and individual response to the program.

6. No Refund Policy I acknowledge that all payments made for the coaching program are non-refundable. I understand that this policy applies regardless of my level of participation or completion of the program.

7. Use of Client Progress for Marketing I grant RichFit Coaching permission to use my progress photos, testimonials, and other relevant materials for marketing purposes, including but not limited to social media, websites, and promotional materials. I understand that my identity will be protected unless I provide explicit consent to disclose my name or other identifying information.

8. Supplement Use Disclaimer I acknowledge that any recommendations regarding supplements or other health-related products are for informational purposes only and are not medical advice. I agree to consult with a qualified healthcare provider before starting any new supplement or health regimen.

9. Harassment and Conduct Policy I agree to maintain respectful communication and behavior throughout the coaching relationship. I understand that harassment, abusive language, discrimination, or inappropriate behaviour towards RichFit Coaching, its coaches, agents, or other clients will not be tolerated. RichFit Coaching reserves the right to immediately terminate the coaching relationship without refund if any such behaviour occurs.

10. Agreement to Terms By By clicking yes and Signing below, I acknowledge that I have read, understood, and agree to the above terms. I enter into this agreement voluntarily and recognize it as a legal contract.

Signature

RichFit Coaching

1:1 Coaching – Training & Nutrition