New Client Information Form

Please complete the short form below. The following information is required to begin your Personal Fitness Training Program with DMSfit. All fields marked with a red "*" are required.

The following information is requested for your health and safety as well as our information so that we can design the most effective Personal Training plan for you. All information is required. Your information will be kept private and confidential.

Because physical activity can be strenuous and subject to risk of injury, we urge you to obtain a physical examination from a physician before using any exercise equipment or participating in any exercise activity or program. I, the undersigned, being aware of my own health and physical condition, and having knowledge that my participation in any exercise program may be injurious to my health, am voluntarily participating in physical activity with DMSfit, LLC.

Having such knowledge, I hereby release DMSfit, LLC, their representatives, agents, and successors from liability for accidental injury or illness which I may incur as a result of participating in the said physical activity. I hereby assume all risks connected therewith and consent to participate in said program.

Additionally, I understand that any recommendation for changes in diet including the use of food supplements, weight reduction and/or body building enhancement products are entirely your responsibility and your should consult a physician prior to undergoing any dietary or food supplement changes.

I also agree to disclose any physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in said fitness program. If it is deemed that a doctor’s release is needed, I understand that I must get the release to DMSfit, LLC before the training can begin.

By reading this release, and checking "I Agree", you acknowledge that you understand the content and fully understand that this is a release of liability.