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Client Intake Form & Waiver

Date of Birth
Month
Day
Year

FITNESS GOALS

HEALTH & MEDICAL

Do you have any existing medical conditions or injuries?
Yes
No
Are you currently taking any medications?
Yes
No
Are you pregnant or planning to become pregnant during the training period?
Yes
No
Maybe
Do you have any allergies or dietary restrictions?
Yes
No

EXERCISE & LIFESTYLE

On average, how many days per week do you engage in physical activity?
0 days per week
1-2 days per week
3-4 days per week
5+ days per week
Do you have any previous experience with personal training?
Yes
No
Do you smoke or use any other tobacco products?
Yes
No
Do you consume alcohol?
Yes
No
Do you use marijuana?
Yes
No

ADDITIONAL INFORMATION

Are you considering in person or remote training?
In Person
Remote
Both

WAIVER

I hereby acknowledge that I have voluntarily chosen to participate in a personal training program, small group training program or fitness class provided by a certified personal trainer contracted through Evolve Personal Performance. I understand that the training program may involve physical exertion and may include, but is not limited to, strength training, cardiovascular exercise, flexibility training, and other various fitness activities. 



I am aware that participation in physical fitness activities involves inherent risks of injury, including but not limited to muscle strains, sprains, falls, and in rare cases, more serious injuries. I acknowledge that I am responsible for monitoring my own condition throughout the training sessions and will inform the trainer immediately should I feel any unusual discomfort or pain. 



In consideration of being permitted to participate in the personal training program, I, on behalf of myself, my heirs, and assigns, hereby release, waive, discharge, and hold harmless Evolve Personal Performance, their agents, employees, and any other individuals associated with the training program from any and all claims, liabilities, damages, and expenses arising out of or in any way related to my participation in the training program, including but not limited to personal injury or property damage, even if such claims are caused by negligence or fault. 



I understand that it is my responsibility to inform the trainer of any medical conditions, injuries, or limitations that may affect my ability to participate in the training sessions. I certify that I have either had a physical examination and have been given my physician's permission to participate, or that I have decided to participate without the approval of my physician and do hereby assume all responsibility for my participation in the training program. I have read and understood the contents of this waiver and release of liability and agree to its terms voluntarily by signing below:

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Date Signed
Month
Day
Year

PHOTO RELEASE WAIVER

At Evolve, we love taking pictures to share with you to show your progress, but we also love to brag about you on our social media and other platforms! So let us know if we can do that: 


I hereby grant Evolve Personal Performance, LLC and their employees/contracted trainers permission to use photographs and/or videos of myself taken during personal training sessions, classes, or events for promotional purposes, including but not limited to social media, website content, marketing materials, and advertisements.   


I understand and agree that: 


1.      The photographs and/or videos may be edited, modified, or cropped as deemed necessary by Evolve Personal Performance, LLC for promotional purposes. 


2.      I will not receive compensation, financial or otherwise, for the use of these photographs and/or videos.   


3.      I release and discharge Evolve Personal Performance, LLC its employees, representatives, and affiliates from any and all claims or demands arising out of or in connection with the use of the photographs and/or videos, including but not limited to any claims for defamation, invasion of privacy, or infringement of moral rights. 


4.      Evolve Personal Performance, LLC reserves the right to cease using any photographs and/or videos at its discretion.


I acknowledge that I am voluntarily signing this waiver and photo release, and I have read and fully understand its contents.

Single choice
YES - Take all the pictures you want! I'd love help tracking my progress!
NO - Please don't share my face!
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