PRE-NATAL ONE TO ONE

Sometimes it can be hard to find a class time that suits you. Personal training is a great way to get the attention you need when i suits you.You may have a particular issue you need 1-2-1 attention with. Or you might not be able to leave the house with a small baby. You may not like group classes and you may prefer to work with an individualised work out plan. Whatever your reason for personal training, we can come up with a plan together and I guide you through it. If you want to organise a personal training session just go to the contact page and send me a mail. Once we agree a first meet you can then fill out the form below that includes a standard medical history and injury waiver form. Then we are all set to go!

SIGN UP FORM

Name*:

Telephone Number*:

Email*:

Doctor:

Emergency Contact:

Date you would like to start classes*: YYYY-MM-DD (e.g. 2016-04-21)

Baby due date*: YYYY-MM-DD (e.g. 2016-04-21)

Is this your first pregnancy?

How did you hear about the classes/course?

Please give details of your pregnancy to include any complications, illnesses or reasons for visiting your doctor or other health professionals

Have you been cleared for exercise by your doctor?
YesNo

Have you any injuries or medical condition that may affect you during these sessions? If yes please give details

Have you any injuries or medical condition that may affect you during these sessions?

Waiver and release of liability, please see below*

 

WAIVER AND RELEASE OF LIABILITY

I hereby state that I have read understood and answered honestly the screening questionnaire.

  1. The participant acknowledges that there can be certain risks of injury to them or third parties associated with their participation in exercise sessions.
  2. The participant should seek professional advice if they have known medical conditions or injury prior to the session.
  3. Kate Campbell and co. Professional fitness will take no responsibility for personal property being damaged or lost.
  4. The participant agrees that they will abide by the rules for participating in the various activities.
  5. The participant agrees to follow instructions given by Professional fitness trainers Kate Campbell, Carla Gibbons and Shannon Schneider
  6. The participant is fully aware they are free to withdraw from any activity at any time.
  7. The participant is participating of their own free will.
  8. Having read all the above information, I as the participant agree to release and indemnify Professional Fitness, its owner and trainer Kate Campbell. I assume the risk and responsibility of any injury arising from my participation.
  9. I also agree that in the event that I am injured or suffer damage, I will bring no claim, legal or otherwise against Professional Fitness and its owner Kate Campbell.
  10. I have fully read and understand the above information and I have signed the screening document freely and voluntarily.