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Personal Fitness Training |
Directions:
Please print out all forms, complete and fax back to
(949) 631-0517. Need these 2-3 days prior to first session.
- Client
Exercise History Questionnaire
- E-mail version (Word) - If you have Microsoft Word, you can use this version to complete and then e-mail it to Dolphyn4@aol.com.
- Print version (PDF) - Print and complete form and send it via fax.
- Health Questionnaire (please choose the appropriate version):
- E-mail version (Word) - If you have Microsoft Word, you can use this version to complete and then e-mail it to Dolphyn4@aol.com.
- Print version (PDF) - Print and complete form and send it via fax.
Directions: Please print out, read, and sign all the following forms. You will need to bring these forms to your first session.
- Informed Consent for Participation in an Exercise Program for Apparently Healthy Adults:
- Print version (PDF) - Print and sign form and bring to your first session.
- Waiver and Release of All Claims by Client:
- Print version (PDF) - Print and sign form and bring to your first session.
- Whole Body Fitness
Policies and Billing Agreement:
- Print version (PDF) - Print and sign form and bring to your first session.
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Lifestyle Weight Management and Nutrition Programs |
Directions: Please print out all five forms (3 copies of food diary), complete and fax back to (949) 631-0517. Need these 2-3 days prior to first appointment.
Daily Food Diary:
- Directions on How to Complete Food Diary
- Sample Food Diary
- Food
Diary
- E-mail version (Word) - If you have Microsoft Word, you can use this version to complete.
- Print version (PDF) - Print three copies.
- Health Questionnaire (please choose the appropriate version):
- E-mail version (Word) - If you have Microsoft Word, you can use this version to complete and then e-mail it to Dolphyn4@aol.com.
- Print version (PDF) - Print and complete form and send it via fax.
- Lifestyle
Weight Management Counseling and Coaching
- E-mail version (Word) - If you have Microsoft Word, you can use this version to complete and then e-mail it to Dolphyn4@aol.com.
- Print version (PDF) - Print and complete form and send it via fax.
- Weight Loss Program Overview 6-Week Syllabus
Directions: Please print out, read, and sign the following form. You will need to bring this form to your first session.
- Policies and Billing Agreeement:
- Print version (PDF) - Print and sign form and bring to your first session.
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Teen Programs |
Directions: For both Fueling the Teen Machine Program and Personal Training, please print out all forms, have teen complete and fax back to (949) 631-0517. Need these 2 -3 days prior to first appointment/session.
- Teen
Programs Nutrition Questionnaire
- E-mail version (Word) - If you have Microsoft Word, you can use this version to complete and then e-mail it to Dolphyn4@aol.com.
- Print version (PDF) - Print and complete form and send it via fax.
- Teen
Exercise History Questionnaire
- E-mail version (Word) - If you have Microsoft Word, you can use this version to complete and then e-mail it to Dolphyn4@aol.com.
- Print version (PDF) - Print and complete form and send it via fax.
- Teen
Health Questionnaire (please choose the appropriate version):
- E-mail version (Word) - If you have Microsoft Word, you can use this version to complete and then e-mail it to Dolphyn4@aol.com.
- Print version (PDF) - Print and complete form and send it via fax.
Directions: Please print out, read, and sign all three of the following forms. You will need to bring these forms to your first training session.
- Waiver and Release of All Claims by Client (PDF) - This is NEW for Teens and needs to be signed by the parent.
- Whole Body Fitness, LLC Policies and Billing Agreement (PDF) - This is NEW for Teens and needs to be signed by the parent.
- Informed Consent for Participation in an Exercise Program for Apparently Healthy Minors (PDF) - This is NEW for Teens and needs to be signed by the parent
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Whole Body Fitness Outdoor Exercise Class |
Directions: Please print out, read and sign the following form(s) and bring with you to your first class.
- Adults (PDF) (over 18 years old)
- Minors (PDF) (under 18 years old) – Parents need to sign on behalf of Minor.
