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NORTH LEEDS PERSONAL TRAINING GYM | ROUNDHAY | SHAPE CLUB
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PERSONAL TRAINING
30-DAY EXPERIENCE
6 WEEK CHALLENGE
PRIVATE SPACE/GYM HIRE
PRIVATE GYM ACCESS
CONTACT US
NORTH LEEDS PERSONAL TRAINING GYM | ROUNDHAY | SHAPE CLUB
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HOME
OUR SERVICES
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PERSONAL TRAINING
30-DAY EXPERIENCE
6 WEEK CHALLENGE
PRIVATE SPACE/GYM HIRE
PRIVATE GYM ACCESS
CONTACT US
YOUTH SGPT Agreement
Kids/Youths Training Agreement
KIDS/YOUTHS SUMMER TRAINING & PAYMENT AGREEMENT
I acknowledge and agree that this Fitness Training Agreement is not transferable or assignable. I acknowledge that payment is required in full for the 5/6 weeks training. 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 that all sessions must be attended 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.
CANCELLATION AND LATENESS
I acknowledge that booking times are reserved and that cancellations must be made 6/12 hours in advance so we can make changes to our training program if necessary. 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.
Parents Details
Name
*
First
Last
Mobile
*
Email
*
Kids Details
Every information asked below is about the kid
Name
*
First
Last
Gender
*
Select
Male
Female
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Emergency Contact
*
First
Last
Age
*
Date of Birth
*
DD slash MM slash YYYY
Illnesses
Have you had any of the following?
*
Diabetes
Heart Problems
High / Low Blood Pressure
Stroke
Asthma
Chest pain
Arthritis
Epilepsy
Osteoporosis
High Cholesterol
No, I am all good
Other (write it down below)
Any other Problem?
Smoking/Vaping
Do you smoke/vape?
*
Yes
No
Have you ever smoked/vape?
*
Yes
No
If you stopped smoking/vaping, how long ago did you stop?
Medications
Do you take any pills, tablets, medicine or medication?
*
Yes
No
Please state them here.
Injury Profile
Have you ever injured any of the following areas of your body?
*
No, I am all good
Head
Neck
Back
Torso
Shoulders
Arms
Hands / wrists
Hips
Upper legs
Knees
Lower legs
Ankles / feet
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
More in control
I want to have...
*
More time
Less stress
More energy
More fun
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
No
Friends
Yes
No
Work colleagues
Yes
No
What do we need to know about them? Any struggles etc
Exercise Preferences
What activities are you doing?
What do you like about them?
2. If you have previously exercised…
What activities did you do?
What did you like about them?
Was there anything you didn’t like about them?
ACCESS LIABILITY AGREEMENT
To exercise/train at Shape Club Ltd during our OPEN GYM/PT/CLASS hours you as individual or parent must confirm you agree to the following:
✓ I hereby indemnify Shape Club Limited from and against any liability, loss, damage, and costs sustained by myself, the customer, whilst exercising at the club.
✓ I hereby indemnify Shape Club Limited from and against any injuries sustained by myself, the customer, whilst exercising in the club. I understand any exercising is at my own risk.
✓ I hereby confirm that no claim will be made from or against Shape Club Limited and/or its employees by myself, the customer.
I agree to indemnify Shape Club Limited from and against all liability and claims arising in respect of any injury, death, sickness, or ill health caused to or suffered by myself, the customer, whilst on the premises of/or when exercising at Shape Club Limited. I hereby confirm entering the Private Studio, attendance and partaking in any exercise is at my own risk during open hours and also understand that there will not always be a member of staff present.
PACKAGES
*
KIDS/YOUTHS SUMMER TRAINING - £100 (PAID IN FULL)
KIDS/YOUTHS SUMMER TRAINING - £100 (TRAIN NOW PAY LATER)
BESPOKE PACKAGE (DISCUSSED WITH COACH)
Today's Date
*
DD slash MM slash YYYY
Comments
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1:1 PT MEMBERSHIP
1:1 PT MEMBERSHIP
1:1 6 WEEKS TRANSFORMATION
1:1 SHAPE IT IN 12 WEEKS
TRAIN IN PAIRS (PARTNER/FRIEND)
SMALL GROUP PT (UP TO 6 MEMBERS)
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