FaithBuilt Fitness Coaching Application

Full Name:*

First NameLast Name

Email:*

example@example.com

Phone Number:*

Please enter a valid phone number.Format: (000) 000-0000.

Age:*

What is your current height and weight ?*

What is your ideal body goal for the next 3–6 months?*

What is your biggest struggle right now?*

What is your current workout routine, if any (optional):

BeginnerIntermediateAdvanced

YesNo

Any injuries I should know about?

Liability Waiver & Assumption of Risk

By checking the boxes below, you acknowledge and agree to the following:

I understand exercise involves risks, including injury.
I voluntarily choose to participate in training with the Coach.
I confirm I am physically able to exercise and have disclosed any conditions.
I understand the Coach is not a doctor and does not diagnose or treat medical issues.
I agree to consult a healthcare professional if needed.
I accept full responsibility for my participation and results.
I release the Coach from any liability for injuries, losses, or claims that may occur.

I agree

I confirm

Signature (Type your full name):*

Date:*

Date