STRONG: Phase 2

Ready to take it to the next level

Name

First Name

Last Name

Phone

(###)

###

####

Birth Date

YYYY

What is your current workout regimen?

What is your current nutrition program?

Where are the areas you think you think you can improve?

What is the number one thing you hope to learn from a fitness coach?

ASSUMPTION OF RISK AND CONSENT: I, the Client, have been informed, understand and am aware that strength, flexibility and aerobic exercise, including the use of equipment are potentially hazardous activities. I also have been informed, understand and am aware that fitness activities involve a risk of injury and that I am voluntarily participating in these activities and using equipment with full knowledge, understanding and appreciations of the dangers involved. I understand that precautions will be used during this training program to prevent physical injury to me. However, in the event of physical injury resulting from the fitness evaluation procedures, equipment usage or training protocols, no medical treatment or monetary compensation will be provided by FitMomATL (Christina Maldonado). I assume the full risk associated with the participation in training programs and agree to hold harmless FitMomATL (Christina Maldonado). I acknowledge that FitMomATL (Christina Maldonado) is relying solely on information provided by me regarding my medical history, physical condition, in allowing me to participate in any evaluation or training session. I certify that I have been advised to consult my doctor when beginning any new exercise program and that the information that i have provided is true and correct. I hereby understand and agree to the terms and conditions of this contract. My name printed below along with my payment will serve to confirm this contract.