Personal Training Application Form

Please Read The Following Terms and Conditions.
8 Week Strength & Fat Loss Bootcamp (Women 40+)

Transform your body, boost your energy, and take control of your health during perimenopause & menopause.✔ In-Person & Online Options✔ Meal Plan Included✔ Expert Coaching by Lynette TuckerLimited Spots Available – Reserve Yours Today!
Full Name

First NameLast Name
Phone Number

Area CodePhone Number
Email Address
example@example.com
Gender
Date of Birth

MonthDayYear
Age
years
Height
cm
Weight
KG
What do you do for a living?
Whats the activity level at your job?
Do you follow a regular working schedule, do you work days, afternoon or nights?
How often do you travel?
Please list the physical activities that you participate in outside of the gym and outside of work.:
If you have any diagnosed health problems list the condition(s).
If you are on any medications, please list them.
What additional therapies are being undertaken for the given health problem(s)?
If you have any injuries, please list them.
Are you experiencing any stresses or motivational problems?
Has anyone of your immediate family developed heart disease before the age of 60?
Do any diseases run in your family?
Do you suffer from diabetes, asthma, high or low blood pressure?
if yes please list:
Are you a current cigarette smoker?
Your current diet could be best characterized as:
ARE YOU READY TO COMITT TO AN 8 WEEK TRANSFORMATION?
What following goals does best fit in with your goals?
What is your goal with your training?
Why?
How often are you willing to train a week to reach your goal?
Please rate your motivational level to do what it takes for reach your goal.
Are you currently excersising regulary (at least 3x per week)?
Have you trained with a personal trainer before?
If yes what kind of training did you do:
At what times during the day would you prefer to train?
SELECT YOUR PREFERRED WORKOUT TIME

Other
How often do you want to do Personal Training a week?
Please Choose
You’re officially one step closer to your transformation! 🎉Lynette Tucker will contact you shortly with next steps.
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

Each session shall be 1 hour in length. Sessions will not be extended (unless time is available) due to the lateness of the client or due to interruptions caused by the client.

3.) ALL THE INFORMATION I HAVE GIVEN IS CORRECT

All the information on this form is correct and to the best of my knowledge. I have sought and followed any necessary medical advice. I understand that all the information given will be kept confidential.
I AGREE TO THE ABOVE TERMS & CONDITIONS!
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Please Read The Following Terms and Conditions.

8 Week Strength & Fat Loss Bootcamp (Women 40+)

You’re officially one step closer to your transformation! 🎉Lynette Tucker will contact you shortly with next steps.