Female Strength Pull-Up Program Application Form

Female Pull-Up Program Application Form

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Thank you for taking an interest in coaching at nathanthomaspt! Please complete the form below in full. All information is kept strictly confidential.

Personal Information

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Full Name*

First NameLast Name
Date of Birth*

MonthDayYear
Email*
example@example.com
Height (cm)*
Weight (kg)*
Phone Number*
Instagram Account
Emergency Contact Name
Emergency Contact Number

Health & Medical Information

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Do you have any medical conditions or injuries I should know about?
If yes, please explain in detail if possible
Are you currently taking any medication?
YesNo
Please describe any limitations or health concerns:

Training Experience

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Less than 6 Months6 - 12 Months1 - 3 Years3+ Years
What is your experience with the Pull-Up?
How often do you currently train each week?*
What type of training are you currently doing? (E.g., Calisthenics, Gym, Classes, Running)*
YesNo
What are your biggest challenges when it comes to training?
Short-Term fitness goals (goals you want to achieve come the 90 days):*

Progress Tracking Policy

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To accurately track your progress, videos may be taken at different points throughout the 90 days of your pull-up progress.

Videos are used for accurate progress tracking and may also be used for marketing purposes (social media, website, etc.).

Your privacy will always be respected and videos will never be shared without professional discretion.

By agreeing below, you confirm that you have read and agree to the Progress Tracking Policy.
Progress Photo Policy Agreement*

Payment Packages

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Please select your preferred payment package below.
Up front - £200 (Discounted Rate)Split Payment - £125 (Two £125 installments, total of £250, one at the start and one mid way through the program)

Terms & Conditions

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1. Cancellations
Cancellations should be made at least 24 hours in advance of a scheduled session. Sessions cancelled less than 24 hours in advance will be charged in full to the client.

2. Late Arrivals
Sessions are 1 hour long and will not be extended due to lateness or interruptions caused by the client.

3. Results

I understand the results of any training program or coaching course are guaranteed and my progress depends on my effort and cooperation in and outside of the sessions.

4. Injuries

I understand that there are inherent risks in participating in a program of strenuous exercise. If I happen to sustain any injury while participating in the fitness program. I acknowledge that my Trainer (Nathan Thomas) is not responsible, except where the injury was caused by the gross negligence or intentional act of my Trainer.

5. Information Accuracy
I confirm that all information provided is correct to the best of my knowledge. I have sought and followed any necessary medical advice. All information given will be kept confidential.
Yes, I Agree
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