Step 1 of 4
Please complete and return to your Personal Trainer or to the reception desk
at least 2 days prior to your first scheduled session.
All information received on this form will be treated as strictly confidential. Please fill out the forms completely and
accurately. This information is essential to helping your trainer develop a program that addresses your needs,
goals, and is safe and effective.
Your personal trainer will send information and seek clearance and instruction regarding your physical exercise program
to your physician unless you request otherwise.
Please provide 24 hour notice if you need to reschedule your Personal Training appointment.
Frequency/Week | Average Length | Easy/Mod/Hard
Frequency/Week | Average Length
If you could design your own exercise program, what would an ideal training week look like to you? Please be specific.
List your favorite activities, rest days, time spent, etc.
In order to increase your chances of being successful at achieving your goals, a certain protocol should be followed.
Please ensure all your goals are ‘SMART’.
The Gift of Fitness: As a new client, we offer you the opportunity to give two friends a gift certificate for one
complimentary training session and one week membership to our studio. We may both be able to make a huge difference
in their lives. Please take the time to jot down the names of two friends, family members or co-workers whom you believe
are ready to take action and achieve their health and fitness goals. We’ll let you give them this gift and then we’ll call
them to schedule them for their first session.
I have read this Release and Terms of Agreement and I understand all of its terms. I sign it voluntarily and with full knowledge of its