ASSESSING YOUR NEEDS: All information received on this form will be treated as strictly confidential. Please fill out the forms completely and accurately. This information is essential to helping your trainer develop a program that addresses your needs, goals, and interests and is safe and effective.

Yoga Me Fit, LLC may send information regarding your physical exercise program to your physician unless you request otherwise.
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In order to increase your chances of being successful at achieving your goals, a certain protocol should be followed. Please ensure all your goals are ‘SMART’. S= Specific (Provide details, how long, how much etc.) M= Measurable (How will you measure whether you’ve reached your goals) A= Attainable (Be realistic, set smaller goals) R = Rewards-Based (Attach a reward to each goal) T = Time Frame (Set specific dates for goals)
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Yoga Me Fit, LLC relies on happy clients telling others about our services. We may both be able to make a huge difference in somebody's life. Please take the time to consider the names of friends or family members who you would like to offer a complimentary consultation. Once you discuss this with them, please have them call Lynn Geddes or tell Lynn about them and she will give them a call to set up a consult.
1)I,
wish to participate in the exercise and training program offered by Yoga Me Fit, LLC. I understand there are inherent risks in participating in a program of strenuous exercise. Consequently, I do hereby declare myself to be physically sound and suffering from no condition, impairment, disease, infirmity or other illness that would prevent my participation in these activities or use of equipment or machinery. I acknowledge that it has been recommended that I have a yearly or more frequent physical examination and consultation with my physician as to physical activity, exercise and use of exercise equipment. I acknowledge that either I have had a physical examination and have been given my physician’s permission to participate or I have decided to participate in the exercise activities, programs and use of equipment without the approval of my physician and do hereby assume all responsibility for my participation in said activities, programs and use of equipment. I agree that Yoga Me Fit, LLC & Anahata Healing Arts shall not be liable or responsible for any injuries to me resulting from my participation in the fitness program (whether at home, at Yoga Me Fit, LLC, and Anahata Healing Arts, outdoors, or at a corporate, commercial, residential or other fitness facility) and I expressly release and discharge Yoga Me Fit, LLC and Anahata Healing Arts of its owners, employees, agents and/or assigns, from all claims, actions, judgments and the like which I or my heirs, executors, administrators or assigns, may have or claim to have as a result of any injury or other damage which may occur in connection with my participation in the fitness program, excepting only an injury caused by the gross negligence or intentional act of such person or persons. This Release shall be binding upon my heirs, executors, administrators and assigns.
2) I certify that the answers to the questions outlined on the PAR-Q form are true and complete to the best of my knowledge. I acknowledge that medical clearance is required if I have answered “Yes” to any of the questions on the PAR-Q form. I understand and agree that it is my responsibility to inform my Personal Fitness Trainer of any conditions or changes in my health, now and on-going, which might affect my ability to exercise safely and with minimal risk of injury.
3) I understand that I am not obligated to perform nor participate in any activity that I do not wish to do, and that it is my right to refuse such participation at any time during my training sessions. I understand that should I feel lightheaded, faint, dizzy, nauseated, or experience pain or discomfort, I am to stop the activity and inform my Personal Fitness Trainer.
4) I understand the results of any fitness program cannot be guaranteed and my progress depends on my effort and cooperation in and outside of the sessions.
5) I understand that all personal training rates are based on 55-minute sessions and should I arrive late, there is no guarantee I will receive the full session with my trainer. In return, if my Personal Fitness Trainer is late for a session, I will still receive the full session time.
6) I understand that Yoga Me Fit, LLC bills its Personal Training clients on a pre-pay basis. Once my trainer and I have decided upon the number of sessions I will purchase, payment must be made before the sessions are conducted. Checks are to be made payable to Yoga Me Fit, LLC. I understand that all Personal Training sessions have expiration dates and are non-transferable (without the permission of your trainer) and non-refundable.
7) I understand that Yoga Me Fit, LLC operates on a scheduled appointment basis and thus, requires that I provide 24 hours notice when canceling an appointment. No charge will be levied should I cancel with MORE than 24 hours notice given. Should I cancel a session with LESS than 24 hours prior notice, I will be charged in full for that session. I will notify Lynn Geddes of the cancellation on her cell phone (912-308-3410) and not by email. I understand that Yoga Me Fit, LLC recommends that all cancelled sessions be rescheduled to ensure consistency and progress in obtaining my fitness goals.
8) I understand that during a personal training session, my trainer may have to use Touch Training to correct alignment and/or to focus my concentration on a particular muscle area to be targeted. If I feel uncomfortable or experience any type of discomfort with Touch Training, I will immediately request that my trainer discontinue using this technique.
9) I understand that the usage of any nutritional supplements is done under my own will and has not been prescribed by my Personal Fitness Trainer.
10) I understand that should my Personal Fitness Trainer become ill or is away on holidays, vacation, trainings, etc. another trainer may be recommended to me so that my fitness progress does not suffer.
I have read this Release and Terms of Agreement and I understand all of its terms. I sign it voluntarily and with full knowledge of its significance.

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