Application Form

First Name

Last Name

Phone Number

Birthday

Height

Select Package

Goals & Time Frame

What is your overall fitness goal?

Is there a specific time frame for your goal?

Starting weight (in lbs)

Goal weight (in lbs)

Training & Lifestyle

Have you had a trainer before?

How long have you been training/lifting?

Job activity level?

Current exercise/ Training days per week.

Current exercise/ Training hours per day

Please provide a description of your workout program and daily routine.

What gym do you currently have access to?

Days per week you’ll be able to be in the gym(I will never ask for 7 days, and rarely 6):

When can you start

Health Information

Are there any training limitations or current/past injuries?

What exercises or movements do you enjoy?

What body parts do you consider to be weaknesses or focal points?

Please share any doctor-prescribed medications you take and what each one is for.

Cardio, Supplements, & Nutrition

Current Cardio Routine?

Supplements currently used and intake schedule (if any).

Describe your current eating habits.

How many meals do you eat per day? If you are tracking calories, please include your daily calorie intake.

If you monitor food, about how many calories do you consume daily

Number of meals per day you can commit to

Do you prefer:

A set daily meal plan with all food sources and amounts Flexible dieting through tracking macros/calories

Preferred clean foods

Foods that don't agree with you

Foods you feel tend to bloat you

Allergies to foods or foods you do not enjoy/will not eat.

Waiver & Acknowledgments

Liability Waiver and Agreement

By signing below, client assumes full responsibility for any and all injuries and issues related or unrelated to any advice from Power Fit Meals LLC, Power Fit Tx, and Power Fit Training (PFTX Training). By signing you also agree that you understand not to do anything you are uncomfortable with and you understand that seeking advice from a physician before using a training/nutrition program is recommended. You also understand that any of these programs are not meant to replace any medical advice or substitute use of a physician. By signing below you agree that Power Fit Meals LLC, Power Fit Tx, and Power Fit Training (PFTX Training) are not responsible for any adverse effects arising from following anything within the plan or guidance throughout our time as coach and client. You also are agreeing to the commitment term agreed upon and that there are no refunds on

I agree to terms & conditions.

Today's Date

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