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Personal Training Policy And
Service Agreement:
*
Indicates required field
Name
*
First
Last
Email
*
Phone Number
*
Health and Medical Information
The Client agrees to disclose any relevant medical conditions, injuries, or medications. The Client is responsible for obtaining medical clearance if necessary.
What is your age?
*
Less than 13
13-18
19-25
26-35
36-50
Over 50
Have you ever been diagnosed with any of the following medical conditions? (Check all that apply)
*
Heart disease or angina
High blood pressure
Diabetes
Asthma
Arthritis
Osteoporosis
Chronic back pain
Joint injuries/surgeries
None
Are you currently taking any medications? (Include both prescription and over-the-counter medications)
*
Yes
No
If yes, please specify:
*
Have you ever had any surgeries or major injuries?
*
Yes
No
Do you have any allergies, especially to medications or latex?
*
Yes
No
What are your fitness goals?
*
Submit
12 SESSIONS PACKAGE
Home
Michaelangelo
Books Published
Podcast
1 on 1 Training
Virtual Group
Youth Agility/Speed
On-Demand
Testimonials
Contact