Clone of Online Coaching Application Form

Personal Training Booking Form
Welcome!

This form books your in-person PT sessions and collects your information for safe and effective training. The initial session either follows your own programme or one I have created, where I can analyse and correct form, exercise selection, exercise execution, volume and rep ranges, and to generally improve your overall knowledge surrounding strength and hypertrophy. Subsequent sessions can involve solely my programming under request. Please complete all necessary details and then select your package at the bottom of this form. All sessions can be performed across a time frame of your choice I.e 1 per week or 4 per week. All new clients must complete this before their first session. (DISCLAIMER: This is not medical advice - Consult your local GP if required.)
Full Name

First NameLast Name
Date of Birth

MonthDayYear
Contact Number
Preferred session length?
Do you have any diagnosed health conditions?
If you are on any medications, please list them.
Do you have any past injuries that affect you today?
Have you experienced chest pain, dizziness, or shortness of breath during exercise?
Do you suffer from diabetes, asthma, high or low blood pressure?
What is your primary goal for these sessions?
Is there any body part, or specific area on your body you'd like to focus on?
Are there any exercises you love/hate? Please note.
What gym do you currently attend? Please note I will not conduct personal training at a gym that explicitly states their exclusivity with their own personal training staff.
*An additional fee of a day pass may apply on top of the cost the session if you do not attend the gym I am based in (The Fitness Forge, Lisburn; This is Arkham, Carrickfergus)
Terms and Conditions for 1-1 Personal Training

I understand that personal training involves physical activity and potential risks of injury. I voluntarily participate and agree to:

• Inform the coach personally of any changes in health.

• Follow instructions and stop if pain occurs.

• Not hold the coach liable for injury unless due to gross negligence.

• Blocks are non-refundable.

• Cancellation policy: 24 hours notice required for full refund for PAYG sessions.
I confirm I am physically able to participate and have read/understand the above.
Personal Training bundles (If enquiring, this form can be submitted without selecting a bundle).
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Pay As You Go
A single session with no further commitment

£30.00 Quantity



Block of 4 Sessions
Must be used before July 15th 2026

£100.00 Quantity



Block of 8 Sessions
Must be used before July 15th 2026

£180.00 Quantity



Block of 12 Sessions
Must be used before July 15th 2026

£220.00 Quantity
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Personal Training Booking Form

Welcome!

Personal Training bundles (If enquiring, this form can be submitted without selecting a bundle).