Personal Trainer Client Intake Form
  • New Client Intake Form

    Answer truthfully to evaluate the best recommendation to suit your needs
  • Gender*
  • Format: (000) 000-0000.
  • Best times for you to dedicate yourself to your DAILY workouts*
  • Waiver and Release of Liability

  • I {name} hereby affirm that I am voluntarily starting a course of instruction in physical fitness and nutrition maintenance (The program). I am voluntarily participating in the Program entirely at my own risk.

    For good and valuable consideration, the receipt of which is hereby acknowledged, I, {name}, hereby grant KBK Athletics permission to use my likeness in a photograph in any and all of its publication, including but not limited to all of KBK Athletic's printed and digital publication. I understand and agree that any photograph using my likeness will become property of KBK Athletics and will not be returned. 

    In full consideration of the risk of injury while participating in the Program, and for the right to participate in the Program, I hereby, for myself, my heirs, executors, administrators, assigns, or personal representatives, knowingly and voluntarily participate in this waiver and release of liability and hereby waive any and all rights, claims or causes of action of any kind whatsoever arising out of my participation in the Program, their affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and assigns, for any kind of risks related to traveling to and from as well as participating the Program, which may include, but are not limited to, physical or psychological injury, pain, suffering, illness disfigurement, temporary or permanent disability, economic or emotional loss, and death.

    I acknowledge that I have carefully read this form and fully understand that it is a release of liability. I expressly agree to release and discharge the trainer or instructor from any and all claims or causes of action and I agree to voluntarily give up or waive any right that I may otherwise have to bring a legal action for personal injury or property damage.

  • Date*
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  • Should be Empty: