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Vladimir Fistric
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Exercise Declaration
Please complete the following exercise declaration form in order to participate in Personal Training. It is important to list all medication, illnesses and conditions so your trainer can assess your ability to exercise and prepare an exercise plan that is personal to you.
First Name
Last Name
Email
I understand that it is my responsibility to tell my trainer if anything changes with my health.
Are you taking any prescribed or unprescribed medication or health suppliments? Do you have any Medical Conditions?
*
No
Yes
Date
Initials
I confirm that the information given in this form is true
I accept terms & conditions
Submit
Thanks for submitting!
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