Personal Training Intake Form

Welcome! I’m Excited to share this fitness journey with you. To get started, please fill out this brief intake form. It will give me the information I need to put together the best possible program to help you achieve your goals. Make sure to hit submit at the bottom when you are done.

Participation Agreement & WaiverWe’re excited to welcome you into your training program with Japheth (Jai) Salsbery at Vallarta Breeze. Before we begin, please read and acknowledge the following:• Your safety matters: Exercise and movement always carry some risk. By choosing to participate, you understand and accept those risks.• Studio use: Simply being in the studio — whether waiting, stretching, or using equipment etc. — also carries normal risks. Trainer Japheth (Jai) Salsbery, Vallarta Breeze, Its owners and affiliates, are not responsible for any loss, theft, or injury that may occur while you are on the premises.• Health disclosure: Please discuss any medical conditions or injuries with your healthcare provider and share their recommendations with your trainer. Jai is not a medical professional and cannot diagnose or treat health issues but will do his best to carry out your doctors orders.• Results vary: Everyone’s body responds differently. No specific outcomes are guaranteed, but Jai is committed to supporting you fully in your journey.• Responsibility: By checking the box above, you agree that Trainer Japheth (Jai) Salsbery, Vallarta Breeze, Its owners and affiliates are not liable for injuries, illnesses, losses, or other outcomes connected to your participation in training programs, other activities or your presence in the studio or other training spaces and you voluntarily and explicitly give up your right to sue.
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