Royally P.H.I.T Client Readiness & Liability Form

Welcome to Royally Phit! This form helps me design a program that is safe, effective, and aligned with your goals. Please answer honestly—your information is confidential and used only to create a customized fitness plan that supports your health and success.

First name

Last name

Phone

Emergency contact name and number

Please list all of your medical conditions & preferences

Readiness for Exercise (Health Screening)

Please answer the following questions about your current health. Select “Yes” or “No” for each.

Has your doctor ever said you have a heart condition and should only perform physical activity recommended by them?

Yes

Do you experience chest pain during physical activity?

Yes

Have you had chest pain in the past month while not active?

Yes

Do you lose balance because of dizziness or lose consciousness?

Yes

Do you have a bone or joint problem that could worsen with exercise?

Yes

Are you currently taking any medication for blood pressure or a heart condition?

Yes

Is there any other reason you should not participate in physical activity?

Yes

If you answered “Yes” to any question above, please briefly explain or list any concerns you’d like to discuss with your trainer before beginning exercise. You may also choose to consult your doctor for medical clearance.

General & Medical Backgrounded Section

Occupation

Which best describes your workday?

Mostly seated

Mostly active

Mix of both

Does your job cause repetitive movement or mental/physical stress?

Yes

Have you been diagnosed with any chronic diseases (e.g., heart disease, hypertension, high cholesterol, diabetes)?

Do you currently participate in any recreational physical activities (walking, sports, dance, etc.)? If yes, please describe.

Do you have any hobbies or interests (e.g., reading, gaming, crafting, etc.)?

Goals & Motivation

What are your short-term and long-term fitness goals?

Do you currently exercise?

Yes

How do you feel about exercise?

Positive

Neutral

Negative

What do you think could happen if you do not start or maintain a healthy lifestyle?

Liability Waiver & Personal Training Agreement

Please read the following statement carefully before agreeing.

I understand that participating in physical training may involve a risk of injury or illness. I voluntarily assume all risks and release Royally Phit LLC, its trainers, and representatives from any liability related to my participation.

I agree to disclose any conditions, limitations, or medications that may affect my ability to exercise safely. I understand that:

Sessions must be used within 30 days of purchase.
24-hour notice is required for cancellations to avoid loss of session.
Late arrivals or no-shows may result in forfeiture of the session or 10 "Dru Hills" for each minute late.
Package must be purchased before beginning training.
A full refund may be issued before the first session only.

By submitting this form, I acknowledge that I accept full responsibility for my health and well-being, and I understand that Royally Phit LLC and its trainers assume no responsibility.

I have read and agree to the Royally Phit liability waiver and personal training terms. (Terms are subject to change with notice)

Signature

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By signing this document, I acknowledge the inherent risks and voluntarily assume full responsibility for any injury, damage, or loss that may result from my participation in this activity. I hereby waive and release the business, its owners, and its staff from all liability, past, present, and future, relating to the services provided.

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March 2026

Week starting Sunday, March 1

Time zone: Coordinated Universal Time (UTC)Business location

Wednesday, Mar 4

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