NEW CLIENT INTAKE

PACEURSELF Health Waiver

To register to paceureself please fill out the following medical form

Congratulations on your decision to participate in an exercise program! With the help of your personal trainer, you greatly improve your ability to accomplish your training goals faster, safer, and with maximum benefits. The details of these training sessions can be used for a lifetime. 

In order to maximize progress, it will be necessary for you to follow program guidelines during supervised and (if applicable) unsupervised training days. Remember, exercise and healthy eating are EQUALLY important! During your exercise program, every effort will be made to assure your safety. However, as with any exer- cise program, there are risks, including increased heart stress and the chance of musculoskeletal injuries. In volunteering for this program, you agree to assume responsibility for these risks and waive any possibility for personal damage. You also agree that, to your knowledge, you have no limiting physical conditions or disability 

that would preclude an exercise program.
By signing below, you accept full responsibility for your own health and well-being AND you acknowledge an 

understanding that no responsibility is assumed by the leaders of the program.
It is recommended that all program participants work with their personal trainer three (3) times per week. 

However, due to scheduling conflicts and financial considerations, a combination of supervised and unsupervised workouts is possible. 

I,
, have read and agree to the following:
  • Appointments will be scheduled directly through my assigned Personal Trainer and can be scheduled on days and times that are mutually agreed upon.

  • I have exchanged contact information with my Personal Trainer and have indicated my preference for being contacted.

 

  • Private personal training sessions are one hour.

  • Clients arriving late will receive the remaining scheduled session time, unless other arrangements have been previously made with the trainer.

  • Personal training sessions that are not rescheduled or canceled 24 hours inadvance will result in for feiture of the session and a loss of the financial investment at the rate of one session. 

  • The expiration policy requires completion of all personal training sessions within 120 days from the date of the contract. Personal training sessions are void after this time period.

 

  • No personal training refunds will be issued for any reason, including but not limited to relocation, illness, and unused sessions.

  • In the event that my Personal Trainer fails to contact me within 24 hours of our scheduled session, or does not show up, he/she will schedule an additional session at no cost to me.