Request edit access
Congratulations on your decision to work with master trainer, Stef Basso. With the help of your personal trainer, Stefanie Basso, NSCA-CPT, SNS, MS, you have the ability to reach your health & fitness goals in the safest, most efficient & effective methods possible. You will be able to defy your odds & achieve new levels. Please read and initial each paragraph that you agree and sign below.
Sign in to Google to save your progress. Learn more
1. During your health & fitness program, every effort will be made to assure your safety. However, as with any exercise program, there are risks, including increased heart stress and the chance for musculoskeletal injuries. In participating in this program, you agree to assume responsibility for these risks and waive any possibility for personal damage. *
2. You also agree that, to your knowledge, you have no limiting physical conditions or disability that would prevent you from participating in an exercise program. *
3. A physician’s examination is recommended for (1) ALL participants with ANY exercise restrictions; (2) ALL persons over 59 years of age. Participants in either or both of these categories who do NOT have a prior physical examination MUST acknowledge they have been informed of its importance. You accept full responsibility for your own health and well-being AND you acknowledge an understanding that no responsibility is assumed by the leaders of the program. *
4. CONFIDENTIALITY & NON-DISCLOSURE: Client acknowledges and agrees that any and all information disclosed or provided by Steffitness in connection with the services is strictly confidential in nature, and constitutes proprietary work product owned by Stefanie Basso, NSCA-CPT, SNS, MS, of Steffitness. The services shall be utilized by client for the sole purpose of the weight management program and are not permitted to be disclosed via the internet in any manner, including forum journals, web blogs, personal or commercial websites, through literary publication, or otherwise, to any person or entity except as otherwise set forth herein. Client acknowledges and agrees that he/she shall forever maintain as confidential, and that he/she shall not disclose to any third party (other than to a treating physician), any of the information, schedules, diets, recommendations and/or details concerning services. Client acknowledges and agrees that his/her duty of confidentiality and non-disclosure pursuant to this Agreement shall survive completion, cancellation, termination or cessation of the services. *
5. TERMS OF TRAINING CONTRACT: You have agreed to work with Stefanie Basso, NSCA-CPT, SNS, MS, on the following program:______________(Program Name) for _________(Months or length of time). Fees for each term of non-refundable contract must be paid prior to sessions. Fees for this program are $___________ *
6. CANCELLATION POLICY: You agree to cancel any scheduled appointments 24 hours in advance to avoid being charged (exceptions due to unforeseeable emergency circumstances may apply). Any missed appointments should be rescheduled as quickly as possible, preferably during another day of the same week, in order to maintain continuity in your progress. *
7. Last but not least, you agree to have fun and exert yourself to your fullest, physically and mentally, in order to achieve your Higher Self! *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy