PERSONAL TRAINING CLIENT FORM

PERSONAL TRAINING CLIENT FORM
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Clients informations - Health questionnaire (Par-Q)
Common sense is your best guide when you answer this questionnaire. Please read the questions carefully and answer each one honestly: check YES or NO.

Par-Q*

	Yes	No
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 fain in your chest when you do physical activity?
n the past month, have you had chest pain when you were not doing physical activity?
Do you lose balance because of dizziness or do you ever lose consciousness?
Do you have bone or joint problem (for example, back, knee, or hip) that could be worsen 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?

Covid-19 ParQ

	Yes	No
Do you consent that sessions must be conducted on a 1:1 basis only?
Do you consent that sessions may only be conducted in a public/private outdoor area?
Do you consent to maintain a minimum of 2 metres from your trainer at any given time?
Do you consent to inform your trainer if you or any member of your household has developed any symptoms (this could include but would not be limited to, a persistent cough, or temperature above 37.8°C, for example) which could be an indication of contracting COVID-19 prior to your session starting?
Do you consent to bring all necessary equipment required to the session yourself and acknowledge that your trainer will not be able to provide items including but not limited to drinking water, a towel, exercise equipment or mats

I have read, understood and completed this questionnaire. Any questions I had were answered to my full satisfaction
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Client informations - Liability waiver
I am aware of the risks in observing or participating in the activities offered and sponsored by Tom March PT and I understand that all sports or fitness that I will execute and participate in are entirely at my own risk and perils. I assume complete responsibility and liability for those risks and for the injuries that may occur as a result of these risks, even if injuries occur in a manner that is not foreseeable at the time I sign this agreement. I realize that by voluntarily assuming the risks involved, I will be solely responsible for any loss or damage I sustain, including personal injuries to me, damage to my property, or damage arising out of my death.

You acknowledge that all sessions have a 24-hour cancellation policy and that you may be charged should you fail to meet this requirement (if the Trainer cancels within this period the session will not be lost) and that all personal training sessions have a three-month expiry date from purchase
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