New Client Intake

Before your first session.

A quick health screening and waiver every new client completes. Print and sign, or I'll send a fillable version before we start.

Note for Ryan (delete before publishing): The PAR-Q below is the standard public screening tool and is fine to use as-is. The waiver is a starting template, not legal advice — have a licensed attorney review it for California before you rely on it, and confirm it matches your liability insurance requirements.

Part 1 — Health Screening (PAR-Q)

The Physical Activity Readiness Questionnaire. Answer yes or no to each.

Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?
YesNo
Do you feel pain in your chest when you do physical activity?
YesNo
In the past month, have you had chest pain when you were not doing physical activity?
YesNo
Do you lose your balance because of dizziness, or do you ever lose consciousness?
YesNo
Do you have a bone or joint problem that could be made worse by a change in your physical activity?
YesNo
Is your doctor currently prescribing drugs (for example, water pills) for a blood pressure or heart condition?
YesNo
Do you know of any other reason why you should not do physical activity?
YesNo

If you answered yes to one or more questions, talk with your doctor before becoming more active. If you answered no to all, you can reasonably expect to be safe to begin.

Part 2 — Your Details & Goals

Full name

Date

Phone

Emergency contact (name & phone)

Injuries, conditions, or anything I should know

What do you want to get out of training?

Part 3 — Liability Waiver & Release (template)

Please read carefully before signing.

I understand that participation in personal training and physical exercise involves inherent risks, including but not limited to muscle strains, sprains, injury, and in rare cases more serious harm. I confirm the health information I have provided is accurate and complete.

I acknowledge that I am voluntarily participating in these activities with Ryan / RyTek LLC ("the Trainer"), and I assume full responsibility for any risks. I release, waive, and discharge the Trainer from any and all liability, claims, or demands arising from my participation, to the fullest extent permitted by law, except in cases of gross negligence or willful misconduct.

I understand the Trainer is a certified personal trainer and not a licensed medical professional, and that training advice does not replace medical advice. I agree to stop and seek medical attention if I experience pain, dizziness, or discomfort.

Client signature

Date