CHOICE LYFESTYLE ONLINE TRAINING APPLICATION

Intake & Coaching Agreement
Choice Lyfestyle LLC

Built By Choice.

Welcome to Choice Lyfestyle's Online Performance Training Program.

This form will help us gather important information about your health history, background, training experience, and goals so we can create a safe, effective, and individualized training program for YOU.

This program is designed for individulas who are committed, coachable, compliant with their training program, and serious about achieving their goals. The greatest results are achieved through consistency, communication, effort, and adherence to the prescribed program.

Please answer all questions honestly and thoroughly. The information provided will be used for program design, monitoring, and coaching purposes.

After this form has been completed, signed, and reviewed, the next step in the onboarding process will be a 15-20 minute virtual consultation to discuss your goals, training history, expectations, and program details. Your Coach will reach out to you to schedule your consultation.

Thank you for trusting Choice Lyfestyle LLC with your fitness journey! We look forward to helping you accomplish your goals!

The Choice Is Yours.
Client Information
Name

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
Email
EMAIL to be used for program access thru app
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent's Email (if applicable)
example@example.com
Parent's Phone Number (if applicable)
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Emergency Contact Name

First NameMiddle NameLast Name
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Name (if under 18)

First NameMiddle NameLast Name
Athletic Information
Primary sport
Position
School or travel team
Current season
Training experience
How many days per week are you looking to train?
Gym Access?
Available equipment

Other
Goals Assessment
Primary Goals

Other
If other was selected please explain below:
How serious are you about these goals?

1

2

3

4

5

6

7

8

9

10

1 is Not Very Serious, 10 is Fully Committed
Why did you choose that number?
Health Screening
Ever diagnosed with a heart condition?
Chest pain during exercise?
Dizziness or fainting during physical activity?
High blood pressure?
Surgery within the last 12 months?
Current injuries or medical conditions that may affect exercise?
Medications that may impact exercise participation?
Doctor ever advised against exercise or physical activity?
If you answered Yes to any of the questions above, please explain.
Baseline Performance Metrics
Height
Weight
Vertical Jump
Broad Jump
10 Yard Sprint
5-10-5
Coaching Agreement & Liability Waiver
Coaching Agreement & Liability Waiver: By participating in Choice Lyfestyle LLC training and coaching services, I understand there are inherent risks, including injury or, in rare cases, serious harm.

I confirm that I (or my child) am physically able to participate and have disclosed any medical conditions, injuries, medications, or concerns that may affect safe participation.

I understand this program is for educational and performance purposes only and is not medical care, diagnosis, physical therapy, or treatment. I will stop and notify Choice Lyfestyle LLC if pain, injury, or health changes affect my ability to train safely.

I accept responsibility for training in a safe environment, using proper equipment, and following instructions. Results are not guaranteed and vary by individual.

In exchange for participation, I voluntarily assume the risks and release Choice Lyfestyle LLC, its owners, coaches, contractors, and affiliates from claims arising from participation, except in cases of gross negligence or willful misconduct.

I have read, understood, and voluntarily agree to this waiver.
Athlete Signature
Date

MonthDayYear
Date
Parent/Guardian Signature (if under 18)
Submission of this form does not guarantee enrollment. All athletes must complete a consultation and be approved for participation before receiving access to training services. Program access will be granted upon completion of the enrollment process and successful payment setup.
Parent/Guardian Date (if under 18)

MonthDayYear
Date
Should be Empty:

Intake & Coaching Agreement

Client Information

Athletic Information

Goals Assessment

Health Screening

Baseline Performance Metrics

Coaching Agreement & Liability Waiver