Enrolment Form Liability Waiver

Please take a minute to fill in the following info

Next of Kin Contact Number

Do you have any Health Concerns

If you answered YES to any Health Concerns - please elaborate

Do you CURRENTLY have any injuries/aches/pains?

Please explain injury

Have you HAD any injuries/aches/pains in the past?

Have you received any kind of therapy? eg Massage, Physio, Chiro, Kinesiology? Please provide practitioners details

Have you had any training in Pilates or Functional Conditioning? If "yes" where, when and with whom

Are you currently involved in physical activity? What type and how many times a week

What are your goals? How would you most like to benefit from Zen-Strength Training?

I acknowledge that a strict 24 hour cancellation policy applies. Appointment cancelled with less than 24 hours notice are billed in full.

I acknowledge that there are certain inherent risks in Pilates & Functional Conditioning.

If my trainer believes I would be at physical risk undertaking such activities, I accept my trainers may elect not to train me unless I present a letter from my medical doctor confirming that I am medically fit, healthy and able to participate.

Neither Zen-Strength or it's trainers are liable for any loss, liability, damage (including bodily injury, pain, accident, damage to or loss of property) of whatever nature and howsoever arising.

Your Signature

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