7 Day Group Fitness Trial Registration Form

Client Details


Medical Contact


Emergency Contact


Why are you here?


Medical Background


Do you have any aches, pains, niggles or injuries to the following:



  • This agreement is made between Epic Win PT and you, the client.

    During your exercise program, every effort will be made to assure your safety. However, as with any exercise program, there are risks, including increased heart stress and the chance of musculoskeletal injuries. Part of your program will also include fitness testing which will enable a better assessment of your current fitness levels and provide a benchmark against normative tables to assist in setting realistic goals. By volunteering to participate in this program, you agree to assume the responsibility for these risks and waive any liability against EPIC WIN PT for personal damage.

    Clearance from a medical practitioner is recommended (but not a requirement) for:

     All participants with any limiting physical conditions or disabilities or a history of medical conditions (as indicated in your lifestyle screening and pre exercise questionnaire forms, which must be completed prior to signing this agreement.)

     All men aged 45 and over and all women aged 55 and over

     If you fall into these categories and have not gained an examination prior to exercise, by signing this form you acknowledge that you are aware of this recommendation and its importance.

    By signing below you accept full responsibility for your own health and well-being whilst participating in your exercise program with EPIC WIN PT. You acknowledge and understand that no responsibility is assumed by the personal trainer or EPIC WIN PT in regards to any injuries resulting from participation in this training program. p>


    1. Clients are required to book their place in all scheduled sessions to enable time to plan suitable sessions for each group and ensure adequate equipment is brought for all participants.

    2. All participants must agree to the above conditions on this form and have completed the pre exercise questionnaire above prior to participation.