Personal Training Intake Form

    Contact Information


    Medical History

    Health & Fitness

    Developing your Program

    Our Coaching Relationship

    Acknowledgment, Participant Release & Cancellation Policy

    I understand and agree that it is my responsibility to inform Fit With Lou of any condition or changes in my health that might affect my ability to complete the program safely.

    I agree that Fit With Lou shall not be liable or responsible for any injuries to me resulting from my participation in the program and I expressly release and discharge Fit With Lou from all claims, actions or judgments as a result of any injury or damage which may occur in connection with my participation.

    I understand that Fit With Lou operates on a scheduled hourly appointment basis and that I must provide a minimum of 24 hours notice if I need to reschedule an appointment. The ability to reschedule depends on the availability of open sessions in the following 7-day period after the cancelled session. Where less than 24 hours notice is given, I understand that rescheduling will not be possible and I will be charged for the session. My coach will utilize that time to further develop my training plan.

    Upon beginning the program, the contract will automatically renew on a month-to-month basis. I agree to give a notice of one calendar month for cancellation via email to in order to cancel the contract.

    By signing below, I confirm that all information I submit is correct to the best of my knowledge and that I have read and understood the participant release and cancellation policies.


    Copyright © 2023 Fit with Lou