POST NATAL ONE TO ONE

Sometimes it can be hard to find a class time that suits you, especially with a new baby. Personal training is a great way to get the attention you need when it suits you.There may be issues from the pregnancy or birth you need consider when returning to exercise i.e. incontinence, prolapse, 3rd/4th degree tears, weak pelvic floor, diastasis recti. You may not be ready for 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*:

Email*:

Doctor:

Emergency Contact:

Delivery Date*: YYYY-MM-DD (e.g. 2016-04-21)

What type of delivery did you have?*

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

Were you given an Epidural during birthing?
YesNo

Are you breast-feeding?
YesNo

Have you had had your postnatal check?
YesNo

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 ever suffered from any of these conditions?
YesNo

Waiver and release of liability, please see below*

 

WAIVER AND RELEASE OF LIABILITY

I have read and agree to the Waiver and Release of Liability (see below). I:

  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. Leonie Lynch will take no responsibility for personal property being damaged or lost.
  4. The participant agrees to follow instructions given by Professional fitness trainer Leonie Lynch and associates.
  5. The participant is fully aware they are free to withdraw from any activity at any time.
  6. The participant is participating of their own free will.
  7. Having read all the above information, I as the participant agree to release and indemnify Leonie Lynch. I assume the risk and responsibility of any injury arising from my participation.
  8. I also agree that in the event that I am injured or suffer damage, I will bring no claim, legal or otherwise against Leonie Lynch.
  9. I have fully read and understand the above information and I have signed the screening document freely and voluntarily.