FREE WEEK .pdf

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FREE WEEK

LEAN CAMP
Name
Email
Bring this with you to your first session and hand it to the trainer
Please answer the following questions by CIRCLING YES OR NO and sign at the bottom.
ASTHMA AS AN ADULT
ARTHRITIS
CHEST PAINS AT REST OR WHEN DOING PHYSICAL ACTIVITY
CIRCULATORY PROBLEMS
DIABETES
EPILEPSY
HEART / CIRCULATION PROBLEMS
HIGH BLOOD PRESSURE
LOW BLOOD PRESSURE
LOSS OF CONSCIOUSNESS OR BALANCE DUE TO DIZZINESS
MUSCLE, JOINT OR BACK DISSORDER
PREGNANCY / GIVEN BIRTH WITHIN THE LAST 6 WEEKS

YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES

NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO

I am fully aware of the risks and dangers of exercise and enter into a programme of
increased physical activity of my own free will. I will hold no blame or responsibility
against Luke Rattue Personal Training should I sustain any injury, illness, damage or loss
during a personal training session or an exercise session prescribed to me. By signing I
hereby fully and forever release and discharge Luke Rattue (personal trainer), and their
trainers from all claims, demands, damages, rights of action, present and future therein.

Signed
Date

www.lrpersonaltraining.co.uk—07462770690—info@lrpersonaltraining.co.uk


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