• Personal Training Consultation Form

  • Personal Details

  • Format: 0000-000-000.
  • Format: 0000-000-000.
  • Preferred method of training

  • Medical Clearance

  • Please select all options which apply to you:
  • Have you previously had any injuries involving your:
  • Do you or have you suffered from:

  • Health and Fitness Objectives

  • Please indicate what you're looking to achieve in your exercise program:*
  • Do you have a preference in the time of the day when you can train?
  • How much time do you expect to spend in your workout?
  • How many days per week can you commit to your workout?
  • Which days do you prefer to come in and train?

  • ·        I acknowledge that the Personal Training program is designed to improve my personal fitness by providing personalized and motivational attention by a qualified Group Instructor.

    ·        I understand all sessions must be pre-booked and pre-paid for, at least a week in advance unless otherwise specified by the trainer himself.

    ·        In the event I am unable to attend a session, I will give a 24 hour notice if I wish to reschedule or cancel a booked session, unless a valid reason is given or if the trainer makes an exemption. Failure to do so will result in forfeiting the session.

    ·        In the event I need to reschedule the session from a pack, I will reschedule within the time frame of the session package. If I’m unable to rebook within the time frame of the purchased package, the session will be forfeited.

    ·        I understand that refunds will only be accepted by the trainer if a valid reason is given (eg. medical) and enough notice is given.

    ·        I understand that there may be health risks associated with activities using physical exertion while undergoing Personal Training. The health risks include, but are not limited to, transient dizziness, fainting, nausea, muscle cramping, musculoskeletal injury, sprains and strains, heart attack, stroke or sudden death. If I experience any of these or any other symptoms while exercising, I will discontinue the activity, notify the Personal Trainer, and consult my physician.

    ·        I certify that I am capable of performing physical exercise and acknowledge that I am voluntarily participating in Personal Training.

    ·        I am participating in Personal Training with knowledge of the dangers involved.

    ·        I understand that I will be fully responsible for complying with any restrictions prescribed for me by my personal physician and that I agree to consult my personal physician for further evaluation and such medical care as I require.

    ·        I acknowledge that my participation in the Personal Training program is at my sole risk. You are advised to consult with your personal physician before participation in the training sessions.

    ·        If any client refuses to consult their physician before participating in any exercise program they must sign a Release of Liability Form and sign a Refusal of Medical Consultation Form (Members who have had a physical exam within the year will also need to sign this form) If recommended by your physician, you should consult with him/her on a regular basis.

    ·        The Personal Trainer will not be responsible for monitoring your compliance with your physician's recommendations. Even consultation with your regular physician is in no way a guarantee against the possibility of adverse occurrences during the training sessions.

    ·        In consideration for my voluntary participation in Personal Training. I, my family, heirs, executors, representatives, administrators, and assigns do hereby waive, release, and forever discharge the company known as Top Notch Personal Training, and their respective managers/officers, directors, employees, and agents; and my personal trainer, from any and all responsibilities, liabilities and lawsuits, present or future, and causes of action for ordinary negligence, whether foreseeable or unforeseeable, arising out of or related in any manner directly or indirectly, to my use of or access to Top Notch Personal Training.

    ·        This waiver includes, but is not limited to such claims that may result from any injury, illness, or death, accidental or otherwise, during or arising in any way from my participation in any exercise or recreation activity or fitness testing associated with personal training.

    ·        I hereby agree to expressly assume and accept sole responsibility for the risk of injury or death so long as they are not the result of gross negligence by the company known as Top Notch Personal Training and/or my trainer.

    ·        I certify that I have read the above Group Exercise Waiver and Release of Liability and have had any questions answered to my satisfaction.

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