WOMEN 30 DAYS FAT LOSS CHALLENGE

I acknowledge and agree that this 30 days challenge agreement is not transferable or assignable. I acknowledge that payment is required in full for the 30 Days Challenge. I understand this money is not refundable. I understand this agreement and the terms it presents is for the training sessions and any other purchase of services in the future.

I acknowledge that this specific agreement, release of liability and consent is continuously valid indefinitely. I understand I must attend all the sessions in 30 days for the challenge to be more effective with it terms, qualify for the recovery treatment and no refund will be granted for sessions that have not been used. I understand Shape Club Ltd has the right and the authority to terminate the program at any time, with no refund, if I do not follow the program or fail to conduct myself in an appropriate manner.

LATENESS

It is my responsibility to attend my training sessions when they are scheduled.

I understand that appointments will begin, and end promptly as scheduled. I will not expect or ask my coach/instructor to run overtime. I understand that sessions will run approximately 45 minutes unless otherwise stated.

By dating this document, I confirm, acknowledge, and agree that I am legally bound by its content.

Personal Details

Name*

First Last

Gender*

Mobile*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Emergency Contact*

Email*

Occupation

Age*

Date of Birth*

Personal Illnesses

Have you had any of the following?*

Any other Problem?

Smoking

Do you smoke?*

Yes

Have you ever smoked?*

Yes

If you stopped smoking, how long ago did you stop?

Medications

Do you take any pills, tablets, medicine or medication?*

Yes

Please state them here.

Injury Profile

Have you ever injured any of the following areas of your body?*

Is there anything else that may affect you exercising?

Goals

I want to...*

Get fitter

Get stronger

Build muscle

Lose body fat

I want to feel...*

More awake

Healthier

More relaxed

Commitment

How important to you is it that you achieve the goals above?*

Not very

Somewhat

Very

Extremely

What areas are you willing to work on to achieve these goal(s)?*

Exercise

Nutrition

Stress/Mood

In your experience which phrase best describes your motivation levels?*

I am self motivated

I find exercise easier to stick to if I have a partner

I find exercise easier with regular appointments

I usually experience some problems staying motivated

I need constant motivation

Support

Family

Yes

Friends

Yes

Work colleagues

Yes

What are you expecting from the 30 Days Challenge?

Today's Date*

Comments

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