Fitness Coaching Liability Waiver

Full Name

First NameLast Name

Date of Birth

Date

Email Address

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Home Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Emergency contact name

First NameLast Name

Emergency contact relationship

Emergency contact phone number

Please enter a valid phone number.Format: (000) 000-0000.

Known injuries or physical limitations

Health conditions, allergies, or current medications

Exercise restrictions or safety notes

Coaching Program or Service Type

Preferred Training Format

Training Goals

Current Fitness Level

Preferred Days and Times for Sessions

Equipment Access and Special Training Preferences

Liability Waiver

Acknowledgment

Participant Signature

Participant Name Confirmation

First NameLast Name

Signature Date

Date