Personal Training: New Client Form

Welcome to our Bilt Wellness Personal Training Program!

In order to help get you started, please fill our new client form so we can better assist you. As soon as you complete your form, a Bilt Wellness team member will reach out and help schedule your first session.

First name

Last name

Email

Phone

Birthday

Month

Day

Year

Are you a resident of a Bilt Wellness Property?

What are your health and wellness goals?

What days and times do you prefer training?

How many days per week would you like to train with your personal trainer?

Do you prefer a female or male trainer?

Female

Male

Doesn't Matter

What do you currently do for exercise?

Would you consider yourself a beginner, intermediate, or advanced when it comes to lifting weights?

Beginner (I am new and definitley need help with my form)

Intermediate (I workout occasionally but need extra guidance)

Advanced (I am quite experienced and just need an extra push)

Are you interested in working with a nutrition coach who can help you create a diet that fits your lifestyle? We will also help keep you on track with weekly check-ins to make sure you are following the plan and ultimately seeing real results.

Yes

No

Terms and Agreement

In order to cancel a personal training session, you must give your trainer a 6-hour notice before the start of the session. If you cancel within 6-hours, you will be charged for the session.

I hereby acknowledge this release from liability for accidental inury or illness which I may incur as a result of participating in any phsyical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in any Bilt Wellness Program.

Signature

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