Thank you for your interest in training with The Body Transformation Group!

Waiver of Liability

By filling out the form below and choosing "Yes" to accept the waiver at the end, you are agreeing to the terms of our Release of Liability, Waiver of Claims, Assumption of Risk and Indemnity Agreement.  You will also be required to sign a paper copy of this waiver in person before taking part in training at The BTG.  For members under the age of 19 years old, a parent or guardian must accept this waiver and agree to the terms on their behalf.

PLEASE CLICK HERE TO READ THE AGREEMENT BEFORE CONTINUING BELOW

General Member Policies

By filling out the form below and choosing "Yes"  to accept the policies at the end, you are confirming that you have read and agree to abide by our General Member Policies.

PLEASE CLICK HERE TO READ OUR GENERAL MEMBER POLICIES BEFORE CONTINUING BELOW 

Please fill out the form as completely as possible.  All fields in the first three sections are required, as is acceptance of the waiver and policies at the end.  The other sections are optional, but will help us understand your training goals and needs better, so please do take the time to fill them out. 


Member Contact Info
Member Name *
Member Name
Date of Birth *
Date of Birth
Phone *
Phone
Please enter the best phone number for us to contact you regarding scheduling and other training-related needs. A mobile phone number is preferred.
Home Address *
Home Address
Emergency Contact Info
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone Number *
Emergency Contact Phone Number
PAR-Q (Physical Activity Readiness Questionnaire)
Regular physical activity is fun and healthy, and more people are starting to become more active every day. Being more active is very safe for most people. However, some people should check with their doctor before they start becoming much more physically active. If you are planning to become much more physically active than you are now, start by answering the seven questions in the box below. If you are between the ages of 15 and 69, the PAR‐Q will tell you if you should check with your doctor before you start. If you are over 69 years of age and you are not used to being very active, check with your doctor. Common sense is your best guide when you answer these questions. Please read the questions carefully and answer each one honestly by selecting either YES or NO.
Question 1 *
Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?
Question 2 *
Do you feel pain in your chest when you do physical activity?
Question 3 *
In the past month, have you had chest pain when you were not doing physical activity?
Question 4 *
Do you lose your balance because of dizziness, or do you ever lose consciousness?
Question 5 *
Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity?
Question 6 *
Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition?
Question 7 *
Do you know of any other reason why you should not do physical activity?
If you answered YES to one or more questions:
Talk with your doctor by phone or in person BEFORE you start becoming much more physically active or BEFORE you have a fitness appraisal. Tell your doctor about the PAR‐Q and to which questions you answered YES. You may be able to do any activity you want – as long as you start slowly and build up gradually. Or, you may need to restrict your activities to those that are safe for you. Talk with your doctor about the kinds of activities you wish to participate in and follow his/her advice.
If you answered NO to all the questions:
If you answered NO honestly to all PAR‐Q questions, you can be reasonably sure that you can: □ Start becoming much more physically active ‐ begin slowly and build up gradually. This is the safest and easiest way to go. □ Take part in a fitness appraisal ‐ this is an excellent way to determine your basic fitness so that you can plan the best way for you to live actively. It is also highly recommended that you have your blood pressure evaluated. If your reading is over 144/94, talk with your doctor before you start becoming much more physically active.
Delay becoming much more active if:
□ You are not feeling well because of a temporary illness such as a cold or a fever ‐ wait until you feel better; or □ If you are or may be pregnant ‐ talk to your doctor before you start becoming more active
Additional Medical Information
Training Goals
Which of these goals is important to you?
Please select all that apply
Which type of progess is more important to you?
Training History
Personal Training
Have you ever worked with a personal trainer before?
Group Exercise
Please tell us which of these types of group exercise you have tried before:
Please check all that apply
Strength Training
Strength Movement Familiarity/Capability
Strength Movement Familiarity/Capability
Please answer these as accurately as possible. If you are familiar with a movement, but incapable of performing it correctly, please answer "Strongly Disagree"
I am familiar with and capable of performing squats correctly
I am familiar with and capable of performing deadlifts correctly
I am familiar with and capable of performing glute-bridges/hip-thrusts correctly
I am familiar with and capable of performing push-ups correctly
I am familiar with and capable of performing chin-ups/pull-ups correctly
I am familiar with and capable of performing an abdominal plank correctly
I am familiar with and capable of performing Olympic lifts (E.G. snatch or clean) correctly
Nutrition and Lifestyle
What is the activity level at your job?
Are you willing to change your current diet/nutritional plan to meet your training goals?
Are you interested in receiving nutrition coaching in addition to your training with The BTG?
LIABILITY WAIVER AND MEMBER POLICY ACCEPTANCE *
By answering "Yes" below, you confirm that you have read and agreed to the terms in our Release of Liability, Waiver of Claims, Assumption of Risk and Indemnity Agreement ("the Waiver"), and that you also agree to abide by our General Member Policies. You must agree to the waiver and policies to train with The BTG. For members under the age of 19 years old, a parent or guardian must accept this waiver and agree to the terms on their behalf.
Parent/Guardian Name (if member is under 19)
Parent/Guardian Name (if member is under 19)