Be By Mel Pre Exercsise Forms

TERMS & CONDITIONS
GROUP FITNESS & PERSONAL TRAINING
I look forward to working with you and helping you achieve your health and fitness
goals. To help me provide a professional, motivating and enjoyable experience for you
and all my clients, please read through and sign these terms and conditions. If you
have any questions, I am happy to answer them and address any concerns.
GROUP
FITNESS
General
Health concerns: You must inform me of any relevant injury or illness and obtain a medical clearance from your
medical specialist prior to beginning (or restarting) training if there are any medical concerns.
Participation: It is understood that both you and myself must commit to your training programme 100% in order
for you to achieve results. You are required to arrive on time for each Session so that the full training plan is
achieved on each visit. You are required to wear appropriate clothing and footwear.
Liability: You accept that participating in exercise has a risk of causing injury, both minor and potentially major.
You accept this risk and accept full responsibility for your exercise and training. You will in no way hold Be..By
Mel or Melonie Vujicic liable for any injuries or illness sustained. You also agree that you have no undisclosed
injury or illness that may affect your ability to undertake rigorous exercise and to the best of your knowledge you
are ready and able to undertake an exercise program.
STRENGTH
CONDITIONING
WEIGHTLOSS
ENDURANCE
Scheduling: You will be provided with detailed instructions on the download and use of Vagaro app to book your
Personal Training and Group Fitness classes with Be..By Mel. Any and all bookings will only be made using
Vagaro and you will receive confirmation of the bookings and reminders when due.
CHALLENGES
Consent: If you are under age of 16, you will need to provide consent from your parents to
Personal Training or Group Fitness classes.
participate in
Personal Training
Payment: All payments for Personal Training sessions are to be made in advance or at time of session. If paying
by card, a surcharge of 1.9% of total value will be applied. Package renewals, if applicable, are due at the last
session of the current package.
Rescheduling appointments: I understand that sometimes you may need to reschedule an appointment. I will
do my best to accommodate your request. If I am unable to find an alternative time, and your request is placed
less than 24 hours prior to the appointment, you will be charged for the appointment (except under special
circumstances or in case of emergency).
12 WEEK
BODY CHALLENGES
12 WEEK FITNESS
CHALLENGES
Cancelling or missing an appointment: If you miss a scheduled appointment or cancel with less than 24
hours’ notice, you will be charged for the scheduled training session (except under special circumstances
or in case of emergency).
Trainer cancellation or missing an appointment: In the event of my own unexpected absence, I, or my representative
will contact you as soon as possible. If my absence is due to a case of an emergency you will be contacted
to explain the situation and reschedule the session.

PRE EXERCISE
QUESTIONAIRE
GROUP FITNESS & PERSONAL TRAINING
PRE-EXERCISE QUESTIONNAIRE
Be..By Mel strongly suggest that you consult your doctor and obtain
medical clearance prior to commencing any exercise program, as a
certain level of risk is inherent in any exercise program. Any information,
instruction or advice obtained from us may not be substituted for your doctor’s advice and is
THIS IS IMPORTANT TO COM-
PLETE TO MAKE SURE THAT I
AM TRAINING YOU SAFELY AND
AWARE OF ANY ISSUES SO
THAT YOU GET THE MOST OUT
OF YOUR TRAIINING!
Full Name:
Age / Date of Birth:
Address:
Contact Number:
Email:
M / F
CONFIDENTALITY AND PRIVACY
IS MAINTAINED AT ALL TIMES!
Emergency Person & Contact
Detail:
How did you find out about
us?
Do you have, or have you had
Referral (Who: ________________________________)
Website o Community Newsletter o Facebook
Heart Disease (specify)
High Blood Pressure
High Cholesterol
Diabetes
Lung Disorder (asthma, etc.)
No – or None of the above
Have you ever been told you are at risk of
Heart Disease (specify)
High Blood Pressure
High Cholesterol
Diabetes
Stroke
No – or None of the above
Have your ever been told that you have heart problems
Heart Murmur or Valve Defect
Racing Heart
Irregular Beats
Angina or Other
Do you have, or have you experienced
Epilepsy
Fainting
Seizures
Dizzy Spells
Convulsions
No – or None of the above
Have you ever had pain or pressure, either at rest or during exercise
In the middle or, or on the left side of the chest
In the neck region
At the left shoulder or down the left arm
No – or None of the above
Do you take any medications for (please name)
Heart Disease
Diabetes
Cholesterol
Blood Pressure
Asthma/Breathing Problems
No – or None of the above
Do you have any joint or muscular problems that may affect your ability
to train
Y / N
If Yes, please explain:
Do you have any other conditions or injuries that may affect your ability to train Y / N
If Yes, please explain: