client intake - step 1
Please make sure to complete BOTH forms below.
1. personal details
Date of birth
Date of birth
Please describe where your family is from (for both parents. going back as far a possible). Note: This will help us to personalise the coaching, specifically nutritional advice.
Have you ever tested your genetics with 23andMe, Ancestry.com or similar company?
Medical and injury history
Allergies, medications, broken bones, torn ligaments, long-standing mobility issues and aches / pains etc.
Please describe the following; 1) an average week of physical activity, 2) training programs previously followed, if any, 3) favourite sports / physical activities that you have consistently engaged in over the last 10 years.
Please describe the following; 1) an average week of eating (types of foods, favourite meals, meals eaten out vs. at home etc.) 2) any particular diet that you follow or have followed over the last 10 years.
Thank you - you can now exit this screen.
2. Participant Risk Warning & Waiver
PARTICIPANT RISK WARNING & WAIVER
PARTICIPANT RISK WARNING & WAIVER
ACTIVITIES Coaching including; strength and conditioning, nutrition counselling and meal planning, and any future activities conducted by the Organiser. ORGANISER Enforme (ABN 63749551957), its employees, agents, volunteers and contractors. GENERAL RISK WARNING Taking part in the Activities is subject to risks. The potential risks include, but are not limited to: * death; * physical or mental injury (e.g. twists, sprains, broken bones, spinal injury, paralysis); * contraction, aggravation or acceleration of a disease; * the coming into existence, the aggravation, acceleration or recurrence of any other condition, circumstance, occurrence, activity, form of behaviour, course of conduct or state of affairs: * that is or may be harmful or disadvantageous to me or the community; * that may result in harm or disadvantage to me or the community. I acknowledge, agree, and understand that the risk warning in the preceding paragraph constitutes a ‘risk warning’ for the purposes of relevant legislation. I acknowledge that the Organiser’s liability arising from the Activities is excluded or reduced in so far as is possible as a result of the risk warning. WAIVER OF LIABILITY I have read the general risk warning and am aware that the Activities are recreational activities that can be dangerous, accept that there is a degree of risk and acknowledge and agree that I participate in the Activities at my own risk and subject to the terms of this Waiver and Risk Warning (Waiver). I declare that: * I am aware that the Activities may involve risk and the safety of the Activity or location is not guaranteed; * I am mentally and physically able to participate in the Activities; * I understand that I should not participate in the Activities unless I am in adequate physical and mental condition; * I will participate within my skill level and capability during the Activities; By signing this Waiver, I acknowledge, agree and understand that, to the full extent permitted by law (including by section 139A of the Competition and Consumer Act 2010 (Cth), division 4 of the Civil Liability Act 2003 (QLD), section 5J of the Civil Liability Act 2002 (WA) and section 5N of the Civil Liability Act 2002 (NSW)): * My rights to sue the Organiser in relation to the Activities, if the Activities or associated services were not provided in accordance with any express or implied warranty or guarantee that the services will be provided with reasonable care and skill, are excluded or alternatively limited to a refund of the cost of the Activities; and * I release the Organiser from all liability for a failure to comply with any express or implied warranty or guarantee that the services will be provided with reasonable care and skill, in so far as the Activities result in my death or injury, but not including significant personal injury caused by the Organiser’s reckless conduct. ADDITIONAL WAIVERS In addition to any other releases, exclusions and warranties in this Waiver, to the full extent permitted by law, I (including my heirs, successors, executors, administrators, agents and assigns) agree to waive, release and indemnify the Organiser in respect of any losses, damages, claims, injuries, liabilities, costs, charges or expenses whatsoever in connection, directly or indirectly, with my participation in the Activities, including without limitation those arising under statute, tort, contract, common law or equity (including for the Organiser’s negligence). I acknowledge that I do not have to agree to exclude, restrict or modify or waive my rights against, or release, the Organiser, however the Organiser may refuse to allow me to participate in the Activities. SEVERABILITY OF TERMS If anything in this Waiver is unenforceable, illegal or void then it is severed and the rest of this Waiver remains in force. The terms of this Waiver are governed by the laws of Queensland, Australia. ELECTRONIC SIGNATURE This Risk Warning and Waiver may be signed physically or electronically pursuant to the Electronic Transactions Act 1999.
I, the below-named, have read, understood, and hereby agree to all of the above-mentioned terms and conditions. By ticking "I agree" and submitting this form, I understand that this is equivalent to signing a legally-binding document.
I do not agree