TRAINER Registration

Today's date *
Today's date
Name *
Name
Address *
Address
Phone *
Phone
How physical is your work?
Emergency Contact
Emergency Contact's Phone Number *
Emergency Contact's Phone Number
What are your top three fitness goals?
establish exercise habit, improve cardiovascular fitness, increase strength and endurance, improve flexility, train for a running event (5K, 10K), Sports conditioning, injury rehabilitation, improve muscle tone, increase muscle mass, other
What are your top three health goals?
improve energy level, improve nutrition, feel better overall, achieve balance in my life, reduce body fat, control cholesterol, control blood pressure, stop smoking, reduce stress, prevent or control diabetes, other
Body composition and other information
Date of Birth *
Date of Birth
If you want to lose weight, how much would you like to lose?
Physical Activity Readiness Questionnaire
Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? *
Do you feel pain in your chest when you do physical activity? *
In the past month, have you had chest pain when you were not doing physical activity? *
Do you lose your balance because of dizziness or do you ever lose consciousness? *
Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity? *
Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition? *
Do you know of any other reason why you should not do physical activity? *
I have read, understood and completed the above Physical Activity Readiness Questionnaire. Any questions I had were answered to my full satisfaction. *
Cancellation Policy
To cancel or change your appointment (2 business days before your session). You may cancel or change your appointment by using the TRAINER SF iPhone, Google Play App, or by contacting your trainer by text up to 2 business days before your scheduled time. What happens if you miss your appointment. If you're not able to make your appointment and you have not changed or cancelled the session within 2 business days before your session, you will be charged the full session rate. Exceptions to missed appointments/classes are: Sessions missed due to sudden illnesses or family illness (your child or immediate family member) will be charged 50% of the session rate. The reduced missed appointment rate can be used two times within a one year period. What you should do if you cannot make your appointment/class and it's within the 2 business day window: Send your trainer an email and text message as soon as you know that you will not be able to make it. They will do their best to assist you with your appointment.