Medical Forms Personal Trainer

Medical Waiver | Rules & Regulations

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Medical Forms Personal Trainer - Medical clearance

MEDICAL HISTORY QUESTIONNAIRE

Important considerations to consider before undertaking any type of exercise program are as follows:

Are you on any medications?
Do you smoke ?
Do you have any physical problems that are of concern to you?

Do you have any of the following:

Chest pain (during exercise and/ or rest)?
Coronary heart disease?
Irregular heartbeats?
High blood pressure?
Family history of heart disease?
Rheumatic fever?
High cholesterol?
Respiratory problems?
Shortness of breathe?
Chronic cough?
Diabetes?
Dizziness or loss of consciousness?
Seizures or convulsions?
Severe headaches?
Obesity?
Arthritis?
Serious bone, joint, or muscle injury?
Low back pain?
Surgery(s)- what, when, why, how many?

What does your physician recommend?

CONSULT YOUR PHYSICIAN BEFORE BEGINNING ANY EXERCISE PROGRAM

Medical Forms Personal Trainer

Waiver and Release

You (the client) agree that if you engage in any physical exercise, class, or activity, you do so at your own risk. You agree that you are voluntarily participating in activities and assume all risk of injury or illness. You agree to release and discharge me from any and all claims or causes of action (known or unknown) arising out my negligence. You acknowledge that you have carefully read this Waiver and Release and fully understand that it is a release of liability. You are waiving any right that you may have to bring a legal action to assert a claim against me for my negligence.


Client’s Signature			Date

Rules and Regulations for Personal Training Sessions

The expiration policy requires completion of an average of one session per week from the date of purchase.

You may reschedule a workout session one day (24 hrs) before the scheduled session without penalty. Within that time you must pay for that session

Unless arrangements have been made with the trainer, member arriving late will only receive the remaining scheduled time for their session. A “no show” will be charged for the session.

No refunds, unless the trainer cannot continue the sessions.


Client’s Signature			Date