INFORMED CONSENT FORMS

ALL INFORMATION SUBMITTED SHALL

REMAIN CONFIDENTIAL.

Kindly complete the relevant form before you attend your first session.
The Informed Consent Form is intended to inform client of the potential risks of exercise, and of the client’s responsibility for their own actions.
Information disclosed in this form will also serve as a reference for the trainer to be mindful during the personal training sessions/group classes of any medical/health/physical issues/conditions/history that the client has disclosed.

Inferno 30 Client Consent Form

Name

First Name

Last Name

Mobile number

(###)

###

####

Person to contact in case of emergency

Please state name, relationship and contact number

Please state any medical/health conditions, joints/spinal/muscular issues, previous surgery/operations & other condition that may affect the level of activity that you could perform in the classes.

If you think your physical or mental condition presents limitations to participation, please provide a doctor's consent form.

The trainer may use photographs and/or video recordings of the classes for promotion on her website and social media platforms. Please state if you consent to your images be taken and/or recorded for this purpose. If your answer is ‘No’ the trainer will ensure that your image will not be captured in the frame of any photo and/or recording taken during the classes.

Yes

Which class did you signed up?

Why did you sign up for the class?

What type of intensity are you expecting from the exercises?

This will serve as a demographic analysis of the participants fitness level.

Date

YYYY

Client’s Consent & Acknowledgement: In agreeing to participate in the exercises classes, I have fully disclose any health and medical conditions/history that are relevant to participation in an exercise programme. If my physical and/or mental condition presents limitations to participation, I will provide a doctor’s consent letter at my first session with the Trainer. I fully understand the potential risks associated with exercises and believe that the potential benefits outweigh those risks. I understand that with my voluntary participation, I shall solely be responsible, and the trainer Tiara Hughes shall not be liable for any minor, major, catastrophic injuries or incidents that may arise from the exercises. I also understand that during the performance of exercises, physical touching and positioning of my body may be necessary to assess my muscular and bodily reactions to specific exercises, as well as to ensure I am using proper technique and body alignment. I expressly consent to the physical contact for the state reasons above. By affixing my name in lieu of a signature and submitting this form, I have read, understood and completed this Informed Consent Form.

CORE-FLEX / YOGALATES CLIENT INFORMED CONSENT FORM

Name

First Name

Last Name

Mobile number

(###)

###

####

Person to contact in case of emergency

Please state name, relationship and contact number

Which class are you participating?

If you are joining two classes per week, please tick both.

Mondays 10.00am-11.00am - Gentle Yogalates

Thursdays 7.00pm-8.00pm - Core-Flex Yogalates

Please state any medical/health conditions & history. For example joints/muscular/spinal issues, previous surgery/operations & other conditions that may affect the level of activity that you could perform in the classes.

If my physical or mental condition presents limitations to participation, I will provide a doctor's consent form.

The trainer may use photographs and/or video recordings of the classes for promotions on her website and social media platforms. Please state your consent to your images to be taken and/or recorded for this purpose. If your answer is ‘No’, the trainer will ensure that your image will not be captured in the frame of any photo and/or recording taken during the classes.

Yes

Date

YYYY

Personal Training Informed Consent Form

Name

First Name

Last Name

Mobile Phone Number

(###)

###

####

Person to contact in case of emergency

Please state name, relationship and contact number

Please state any medical/health conditions & history. For example joints/muscular/spinal issue, previous surgery/operations & other conditions that may affect the level of activity that you could perform in the classes

If my physical or mental condition presents limitations to participation, I will provide a doctor's consent form.

Yes

Date

YYYY

Client’s Consent & Acknowledgement : In agreeing to participate in the personal training sessions, I have fully disclose any health and medical conditions/history that are relevant to participation in an exercise programme. If my physical and/or mental condition presents limitations to participation, I will provide a doctor’s consent letter at my first session with the Trainer. I fully understand the potential risks associated with exercises and believe that the potential benefits outweigh those risks. I understand that my exercise programme will involve participation in a number of types of fitness activities ranging from aerobics, muscular endurance and strength building exercises including but not limited to the use of weights and exercise apparatus. I fully understand that with my voluntary participation, I shall solely be responsible, and the trainer Tiara Hughes shall not be liable for any minor, major, catastrophic injuries or incidents that may arise from the exercises. I also understand that during the performance of exercises, physical touching and positioning of my body may be necessary to assess my muscular and bodily reactions to specific exercises, as well as to ensure I am using proper technique and body alignment. I expressly consent to the physical contact for the state reasons above. By affixing my name in lieu of a signature and submitting this form, I have read, understood and completed this Informed Consent Form.