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Personal Training Contract & Policies
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2022-03-23T14:56:28+00:00
Personal Training Contract & Policies
Name
(Required)
Date
(Required)
MM slash DD slash YYYY
The training sessions will take place on
(Required)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Training Time
Please be ready to begin each training session at your scheduled appointment time. Training sessions are not extended if you are late. Should you, the client, wish to reschedule an appointment, I will do my best to accommodate your request. If the request is placed less than 24 hours prior to appointment, you will be charged for the appointment.
**NOTICE Contracts expire 6 months after purchase. This agreement cannot be canceled and is NON-REFUNDABLE. All contracts can be transferred. Contracts can be extended for injuries, pregnancy, and job loss ONLY.
Contract Agreement
(Required)
I, the client, hereby agree, for myself and my family members, my heirs, executors and administrators, to waive and release any and all rights and claims for damages I may have against Laser Sharp Fitness or it’s respective agents, representatives, successors and assigned personal fitness professionals for any and all injuries which may be suffered by me in connection with my activities at Laser Sharp Fitness. I understand that I am voluntarily participating in the Personal Training program, which has been explained verbally and in writing. I also acknowledge that I am responsible for the full dollar amount of the contract no matter what the circumstances may be surrounding the fitness program. I am aware of my own current level of health and physical condition, and am aware that participating in any exercise program has inherent injury risks. I agree to provide medical clearance if applicable.
Agree
Client Signature
(Required)
Date
(Required)
MM slash DD slash YYYY
Phone
(Required)
Email
(Required)
Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Trainer's Name
Consent and Assumption Of Risk For Personal Trainer and Evaluation and Physical Fitness Programs
Name
(Required)
Agreement
(Required)
I DESIRE TO USE THE SERVICES OF A PERSONAL TRAINING PROGESSIONAL provided by Laser Sharp Fitness. I understand that working with a personal fitness professional will involve a physical fitness program which may include testing procedures (such as body fat %, circumference, cardiorespiratory, strength, flexibility, and other such testing procedures), aerobic activities (such as treadmill walking/running, bicycle riding, rowing machine exercise, group aerobic activity, swimming and other such activities), calisthenics and weight lifting to improve muscular strength and endurance, and flexibility exercises to improve joint range of motion. I understand that the reaction of the heart, lungs and blood vessel system to such exercise cannot always be predicted with accuracy. I know that during or following exercise there is a risk that I may experience abnormal blood pressure or heart rate, ineffective functioning of the heart, and in rare instances, heart attacks. Use of the weightlifting equipment, and engaging in heavy body calisthenics, can lead to musculoskeletal strains, pain and injury. I also understand that a program of regular exercise for the heart and lungs, muscles, and joints, has many associated benefits. These may include a decrease in body fat, improvement in blood fats and blood pressure, improvement in psychological function and a decrease in risk of heart disease. The amount and degree of benefits experienced will be relative to the adherence of an exercise program based on prescribed amounts of intensity, duration, frequency, progression and types of activity. I have read the above information and I understand the potential risks and benefits of working with a personal fitness professional and I voluntarily agree to assume such risks. In consideration of Laser Sharp Fitness providing me with a personal fitness professional, I, for myself, my heirs and assigns, hereby release and hold harmless Laser Sharp Fitness, and the personal fitness professional from any claims, demands and causes of action of any kind. Further, I hereby release Laser Sharp Fitness and the personal fitness professional from any liability now and in the future relating to any illness, soreness, or injury, however caused, occurring during or after my participation in the exercise program.
I agree.
Signature
(Required)
Date
(Required)
MM slash DD slash YYYY
Health History Questionnaire
This Form and Your Confidentiality
This health history form is your opportunity to provide information that will assist our personal fitness professionals in evaluating your current level of health fitness. Laser Sharp Fitness will maintain this form and the information you provide in a manner that assures your confidentiality. Any information you provide will be available only to the personal fitness professionals of Laser Sharp Fitness and will be used solely in conjunction with planning and developing health and fitness programs
Name
(Required)
Date
(Required)
MM slash DD slash YYYY
Home Phone
(Required)
Cell Phone
(Required)
Date of Birth / Age
(Required)
Height
(Required)
Weight
(Required)
Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Employer
Employer Phone Number
Primary Physician’s name:
(Required)
Primary Physician’s Phone Number
(Required)
Emergency Contact’s Name
(Required)
Emergency Contact’s Phone Number
(Required)
Emergency Contact Relationship
Health History
Please indicate your history related to each of the following conditions by checking the appropriate box. If you have had any condition in the past, please indicate the date in the appropriate space.
Heart murmur, clicks, or other cardiac findings
Never
Now
Other
Frequent extra, skipped, or rapid heart beats/palpitations
Never
Now
Other
Heart attack, coronary bypass, or other cardiac surgery
Never
Now
Other
Chest pain / angina (especially upon exertion)
Never
Now
Other
Currently pregnant
Never
Now
Other
Diagnosed with high blood pressure
Never
Now
Other
Leg cramps during exercise
Never
Now
Other
Chronic swollen ankles
Never
Now
Other
Varicose veins
Never
Now
Other
Frequent dizziness / fainting /shortness of breath / concussion
Never
Now
Other
Blood clot
Never
Now
Other
Severe arthritis
Never
Now
Other
Orthopedic problem(s) or complaint(s)
Never
Now
Other
Chronic back pain / hernia
Never
Now
Other
Musculoskeletal problem(s) or complaint(s)
Never
Now
Other
Asthma
Never
Now
Other
Cancer
Never
Now
Other
Diabetes
Never
Now
Other
Epilepsy / Seizures
Never
Now
Other
Rheumatic Fever
Never
Now
Other
Scarlet Fever
Never
Now
Other
Bronchitis
Never
Now
Other
Stroke
Never
Now
Other
Pneumonia
Never
Now
Other
Recent surgery, chronic conditions (please describe and give dates)
Other medical problems / considerations, recent illness(es), hospitalization(s), or injury
Current medications / prescriptions
Do you smoke?
Date of last complete medical or physical exam:
Do you know of any medical or health conditions, considerations, or circumstances that might make it dangerous or unwise for you to participate in an exercise program?
Family Health History
Please indicate the number of blood relatives (mother, father, grandparents, brothers, sisters, children) who:
Have had a heart attack prior to age 65
Have had a stroke
Have had or now have diabetes
Have been or are substantially overweight
Confirm
(Required)
The information submitted on this Health History Form is true and complete to the best of my knowledge, and I understand that any wrong or incomplete information could result in a less effective program, injury, or illness. Should any changes in my health history change, I acknowledge it is my responsibility to inform the personal training professional and Laser Sharp Fitness in writing immediately.
Agree
Signature
(Required)
Client Name
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