• Nutrition Fitness Assessment

    Please complete each entry thoroughly.
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  • Occupational/Activities

  • Medical Information

  • Physical Activity Readiness Questionnaire (Par-Q)

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  • Nutrition and Wellness Assessment

  • Please list ALL the foods and the times you eat for each meal of the day?

  • Personal Training/Coaching Terms & Conditions

  • Do hereby contract with U3Fit to provide the services to me as a health and fitness life coach personal traininer, and nutrition fitness specialist and weight loss specialists.

     

  • Acknowledge U3Fit's staff will design a tailored exercise program for the client that reflects the client's objectives, fitness level, and experience. I hereby affirm that I am in good physical condition and do not suffer from any disability that would prevent or limit my participation in this program.  I understand that I must be cleared of any risk factors associated with physical activity before services can be offered.  If risks are identified, I understand that I am required to provide the trainer with an official physician's statement indicating that I have been cleared to engage in a physical activity program.

     

  • Understand that it is my personal responsibility to consult with a physician prior to my participation in any physical fitness program, and more specifically, the Personal Training Program with a U3Fit trainer.

  • I understand that exercise involves certain risks that may include but not limited to, serious neck and spinal injuries resulting in complete or partial paralysis, heart attack, stroke or even death.  Also injuries could occur to bones, joints or muscles, slips, falls and unintended loss of balance could result in muscular neurological, orthopedic or other bodily injuries.  I understand that part of the risk involved may be in undertaking any activity or program is relative to my own state of fitness or health physical, mental, or emotional and to the awareness, care and skill which I conduct myself in the activity or program. 

  • Understand that I have the complete right to stop or decrease exercise at any time during a session and that it is my obligation to inform U3Fit staff or any assigned trainer of any symptoms such as fatigue, shortness of breath or chest discomfort.

  • I recognize that physical training requires physical exertion that may be strenuous and may cause severe physical pain and injury.  I hereby agree to hold U3Fit, any associated trainer, independent contractors, and/ or volunteer's harmless from any and all injuries, accidents, costs, losses, causes of action, claims, damages and/or liability that may result from the participation in the Personal Training Program with U3Fit. I understand that participation with U3Fit staff is strictly voluntary and I am willing to assume any and all potential risks involved in participation in the personal training provided by U3Fit.

  • Payment Terms

  • I acknowledge and agree that this contract is not transferable or assignable and not refundable.  I understand that full payment is required before I am allowed to begin a session. 

  • I understand that I will not be permitted to continue Nutrition coaching sessions with any U3Fit trainers if payment is not made as contracted above.  U3Fit reserves the right to cancel any and all virtual/nutrition/training sessions if I breach this contract in any way.  I further understand and agree that I will be responsible for all collection costs, court costs and attorney fees associated with the collection of any past due fee owed to U3Fit.

  • Cancellation Policy

  • I acknowledge in an emergency, a U3Fit trainer or staff member may reschedule a planned session, in which case a make-up session will be resheduled.  If less than 24 hours notice is given, payment is still required for the session and must be paid before scheduling an additonal apointment.  

  • I acknowlege that appointment times are reserved and cancellations must be made at least 24 hours in advance.  Clients arriving late will receive the remaining scheduled session time, unless other arrangements have been previously made with a U3Fit trainer or staff member. Any appointment missed, late cancelled or changed without 24 hour notice will result in a charge equal to 100% of the reserved service amount. I understand U3Fit has the right to terminate the program with no refund due to me.

  • Assessment Forms

    Please type your initials in the space provided below to show you have completed and submitted all forms.
  • I acknowledge I have completed and signed forms recognizing my assessment must be completed, signed and on file prior to the beginning of the first sessions.

  • I DECLARE THAT I HAVE READ, UNDERSTAND AND AGREE TO THE CONTENT OF THIS PERSONAL TRAINING AGREEMENT IN ITS ENTIRETY.  I UNDERSTAND THAT THE ASSUMPTION OF RISK WAIVER OF LIABILITY AND PERSONAL TRAINING POLICIES AND PROCEDURES ARE INTENDED TO BE AS A BROAD AND INCLUSIVE AS PERMITTED BY THE STATE OF CALIFORNIA AND AGREE THAT IF ANY PORTION IS HELD INVALID, THE REMAINDER WILL CONTINUE IN FULL FORCE AND EFFECT.

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    Testimonial and Photo Release Form
  • In consideration of good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, I, the undersigned, hereby grant to U3Fit and all trainers and staff members the right to use my name, biographical information, photographs, images, story and/or testimonial, in whole or in part, and without restriction as to changes or alterations.  The rights granted herein shall extend in perpetuity, unless revoked in writing to U3Fit by me, throughout the world and for any purpose whatsoever, including without limitation for marketing and advertising purposes of U3Fit, and in any and all media, including without limitation to the website.  I acknowledge that U3Fit has no obligation to return any photographs or images to me.  

    I hereby RELEASE, WAIVE and FOREVER DISCHARGE any and all claims arising out of, or in connection with, such use by U3Fit, including without limitation any and all claims for liable or invasion or privacy.  

    I hereby warrant and represent that I am at least 18 years of age and have the right to contract in my own name.  I have read the above release and am fully familiar with the contents thereof.  This release contains the entire agreement between the parties hereto as to the subject matter contained herein.

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