CLIENT WAIVERPLEASE COMPLETE THE FORM BELOW Name * First Name Last Name Email * Pronouns * Do you have any previous injuries that may affect your training? If so, please list them below * Are you seeking care from another healthcare practitioner (physiotherapy, massage therapy, etc)? If yes, please list (if you feel comfortable doing so) * Has a doctor ever said that you have a heart condition and that you should only do physical activity recommended by your doctor? * Yes No Do you feel pain in your chest when you do physical activity? * Yes No In the past month, have you had chest pain when you were not doing physical activity? * Yes No Do you ever lose your balance because of dizziness or do you ever lose consciousness? * Yes No Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity? * Yes No Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition? * Yes No Do you know of any other reasons why you should not do physical activity? * Yes No Are there any health concerns and medications you are taking that your coach should be aware of? Please list below. * TRAINER RESPONSIBILITIES ● Will provide a proper and thorough training program, instruction on safe exercise form, motivation, and the appropriate fitness/health assessments when needed. ● Will maintain a record of the training hours paid for and completed. ● Will maintain a sanitary environment by cleaning and enforcing current COVID guidelines. ● Will give at least 24 hours notice when making schedule changes. ● Will maintain current training certifications, CPR-AED certification, and liability insurance. WAIVER Recommendations * It is recommended that you seek advice and approval from a physician prior to starting any new exercise program. I UNDERSTAND The client will provide an accurate and thorough health history of any concerns relevant to physical training activities * I AGREE The client will promptly inform the trainer in the event of any new medical condition of physical injury. * I AGREE The client assumes all risks of injury associated with exercises performed or with their use of fitness equipment during training sessions and when performing programmed workouts on their own. * I AGREE The client will give the trainer at least 24 hours notice when making schedule changes, or else forfeit the appointment. * I AGREE SCHEDULING & FEES * ● Single sessions are paid for day-of, and must still be paid for if you cancel within less than 24 hours. ● Recurring sessions are paid in advance at the beginning of each month. Any credit from sessions canceled 24 hours in advance will roll over into the following month. ● If you are unable to attend the original session due to a last minute emergency, rescheduling WITHIN the same week in place of forfeiting sessions is encouraged. I UNDERSTAND The client will comply with payment policies and scheduling protocol as listed above * I AGREE Thank you!
