LIVVY CHOO FITNESS
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Welcome To Training
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Name
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First
Last
Which Class are you Interested In
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In Person Training One on One
In Person Training 6am Boot Camp
Virtual Personal Training Boot Camp 6pm
Virtual Training One on One
Are You On Any Medication?
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Yes
No
If Yes. What Medication and Why?
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Do You Have Any Injuries Or Physical Limitations?
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How Much Weight Do You Want To Lose?
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5 lbs
10 lbs
20 lbs
30 lbs
40 lbs
50 lbs
60 lbs
70 lbs
80 lbs
90 lbs
100 lbs
Where are your target weight loss areas
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The Face
The Stomach
The Arms
The Back
The Butt
The Legs
Please Upload Your Pictures
Meal Plan Metrics and Forecasting
Are You Willing To Cut Sugar This Month
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Yes
No
I Don't Know
Are You Willing To Not Eat More Than 500 Grams of Carbs Per Week
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Once A Week
Twice A Week
More Than Twice A Week
What Are You Goals?
Additional Feedback
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LIABILITY WAIVER I UNDERSTAND THAT LIVVY CHOO FITNESS INCLUDES EXPLOSIVE PHYSICAL MOVEMENTS AS WELL AS AN OPPORTUNITY FOR RELAXATION, STRESS RE¬EDUCATION AND RELIEF OF MUSCULAR TENSION. AS IS THE CASE WITH ANY PHYSICAL ACTIVITY, THE RISK OF INJURY, EVEN SERIOUS OR DISABLING, IS ALWAYS PRESENT AND CANNOT BE ENTIRELY ELIMINATED. IF I EXPERIENCE ANY PAIN OR DISCOMFORT, I WILL LISTEN TO MY BODY, DISCONTINUE THE ACTIVITY, AND ASK FOR SUPPORT FROM THE INSTRUCTOR. I WILL CONTINUE TO BREATHE SMOOTHLY AND MODIFY THE EXERCISES. I ASSUME FULL RESPONSIBILITY FOR ANY AND ALL DAMAGES, WHICH MAY INCUR THROUGH PARTICIPATION. THE FITNESS WORKOUT IS NOT A SUBSTITUTE FOR MEDICAL ATTENTION, EXAMINATION, DIAGNOSIS OR TREATMENT. LIVVY CHOO FITNESS WORKOUT IS NOT RECOMMENDED AND IS NOT SAFE UNDER CERTAIN MEDICAL CONDITIONS. BY AGREEING, I AFFIRM THAT I AM IN GOOD HEALTH AND PHYSICAL CONDITION TO PARTICIPATE IN SUCH A FITNESS PROGRAM. IN ADDITION, I WILL MAKE THE INSTRUCTOR AWARE OF ANY MEDICAL CONDITIONS OR PHYSICAL LIMITATIONS BEFORE CLASS. IF I AM PREGNANT, BECOME PREGNANT OR I AM POST¬NATAL OR POST¬SURGICAL, MY AGREEMENT VERIFIES THAT I HAVE MY PHYSICIAN'S APPROVAL TO PARTICIPATE. I ALSO AFFIRM THAT I ALONE AM RESPONSIBLE TO DECIDE WHETHER TO PRACTICE LIVVY CHOO FITNESS WORKOUT AND PARTICIPATION IS AT MY OWN RISK. I HEREBY AGREE TO IRREVOCABLY RELEASE AND WAIVE ANY CLAIMS THAT I HAVE NOW OR MAY HAVE HEREAFTER AGAINST LIVVY CHOO FITNESS AND IT'S INSTRUCTORS
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I have read and fully understand and agree to the above terms of this Liability Waiver Agreement.
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