ELIGIBILITY

Clients must be currently authorized by their Physician in order to participate in this or in any other Fitness Program or Regimen with Structure Personal Fitness Studios.

Clients will be required to complete the proper documentation prior to participation within the personal training program.

Structure Personal Fitness Studios reserves the right to deny services to participants who may not be able to exercise safely within the program parameters.

If it is determined that the client has one or more risk factors, based on the criteria set forth by the National Strength and Conditioning Association, American College of Sports Medicine and/or the Aerobics & Fitness Association of America, that could be a potential risk during exercise, he/she will be referred to their Physician for an in depth fitness assessment before receiving any personal training or any other type of classes from Structure Personal Fitness Studios.

CONDUCT OF TRAINING SESSIONS

Client must wear proper attire (i.e. shorts, sweat pants, t-shirt, tennis/running shoes, etc.) Absolutely no jeans, jean shorts, sandals, open toe shoes of any kind (Vibrams and other barefoot shoes the only exception).

RELEASE OF LIABILITY

I have enrolled in a program of strenuous physical activity including, but not limited to walking, running, boxing, dance, kickboxing, TRX, weight lifting, step aerobics, aerobics, body sculpting and the use of various conditioning and exercise equipment and facilities designed, offered, recommended, and/or supervised by Structure Personal Fitness Studios. I hereby affirm that I am in good physical condition and do not suffer from any disability that would prevent or limit my participation in this program.

In consideration of my participation in the program, I for myself, my employees, heirs, assigns, agents, officers, directors, shareholders and co-workers hereby release Structure Personal Fitness, its employees, spouse, relatives, heirs, assigns, agents, officers, directors, and shareholders, from any and all claims, demands or causes of action arising from my participation in the program or from any use of the conditioning and exercise equipment and facilities.

I fully understand that I may suffer injury as a result of my participation in the program and I hereby release Structure Personal Fitness Studios from any and all liability now or in the future, including but not limited to medical expenses, lost wages, pain and suffering, that may occur by reason of heart attacks, muscle strains, pulls or tears, broken bones, shin splints, heat prostration, knee/lower back/foot injuries, and any other illness, soreness, or injury, however caused, whether occurring during or after my participation in the program or use of the conditioning and exercise equipment and facilities, regardless of fault.

By checking this document, I attest, contract, acknowledge, and agree that I am legally bound by its content.

PRICING AND PAYMENT

I acknowledge and agree that this Personal Training Agreement is not transferable or assignable. I acknowledge that payment is required for blocks of sessions in advance of actual training sessions. I agree to pay in advance for training sessions. I understand this money is not refundable. I understand this contract and terms it presents is for the purchase of sessions and any other purchase of services in the future. I acknowledge that this specific contract, release of liability, consent, and agreement is continuously valid indefinitely. I understand that a minimum requirement of one session per week must be completed or I will be charged for the session(s) missed (unless otherwise scheduled in advance by Structure Personal Fitness Studios). No refund will be granted for sessions that have not been completed. I understand Structure Personal Fitness Studios has the right and the authority to terminate the program at any time, with no refund, if I do not follow the program or fail to conduct myself in an appropriate manner.

By checking this document, I attest, contract, acknowledge, and agree that I am legally bound by its content.
All training sessions must be paid in accordance with membership details.  

CANCELLATION AND LATENESS

I acknowledge that appointment times are reserved and that cancellations must be made a minimum of 24-hrs in advance prior to the start of the scheduled training session time by calling Structure Personal Fitness Studios at 212-988-8488 or going to the homepage for www.Mindbodyonline.com. I understand that I will not receive a refund for missed appointments. It is my responsibility to attend my personal training appointments when they are scheduled. Every effort will be made to reschedule a training session according to the mutual availability of the client and trainer. If a cancellation is not made by a minimum of 24-hrs prior to the scheduled session, the client understands that he/she will be charged for the session. Likewise, a ‘no show’ counts as a session serviced and the client will be charged.

I understand that appointments will begin and end promptly as scheduled. I acknowledge that any delays to the start of a scheduled appointment will not be a cause of extend provided service beyond the remainder of the scheduled time. I will not expect or ask my trainer to run overtime. I understand that if I am 15-mins late, my session will be canceled, and I will be charged for that session.  I understand that sessions will run approximately 60 minutes unless otherwise stated. I acknowledge that a delay to a scheduled session cannot change the session status to anything else except a whole session. I understand that there are no half sessions because of any delay.

By checking this document, I attest, contract, acknowledge, and agree that I am legally bound by its content.

Physical Activity Readiness Questionnaire (Par-Q)
For most people physical activity should not pose any problem or hazard.  The Par-Q has been designed to identify the small number of adults for whom physical activity might be inappropriate or those who should have medical advice concerning the type of activity most suitable for them.

Common sense is your best guide in answering these questions.  Please read them carefully and check YES or NO if it applies to you.  If a question is answered with YES, please use the available space to explain your answer and give additional details.

Medical History

RELEASE FORM FOR PARTICIPATION Structure Park Avenue LLC

I hereby request the opportunity to participate in an exercise program consisting of physical exercise designed to improve cardiovascular efficiency, improve flexibility and develop muscular strength and endurance.  I hereby acknowledge that my participation in such program is entirely voluntary on my part.  Such participation is solely for my own pleasure and benefit.

I will be taught how to properly operate all equipment necessary for my participation.  I realize that the physical fitness equipment provided can be potentially dangerous and that if I am unsure of the proper operation of any equipment, I should ask for assistance from the fitness staff.  In addition, I understand that I should immediately cease using any malfunctioning equipment and report to the fitness staff equipment in need of repair.  

It is possible that certain unhealthy changes may occur during exercise (e.g., dizziness/fainting, abnormal heart rhythms, and in rare instances, heart attacks).  I hereby accept all risks of such changes.  The information which is obtained through this program will be confidential and become a part of my Structure Personal Fitness medical records.  The data obtained, however, may be used for statistical purposes.

In consideration of acceptance of my participation in such program, I hereby release Structure Park Avenue LLC and all staff, employees and other clients (as a group and as individuals) of any of the foregoing for liability for any injury or damage sustained by me while participating in such a program.

Clear

Comprehensive Fitness/Lifestyle Change Assessment