Future
 Fitness
  Live

Contact Us

 

Future Fitness Live
                            patty@futurefitnesslive.com

http://www.ideafit.com/profile/patricia-dorton


Please complete the fields below and we will respond to your inquiry within 48 hours.

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Evening Phone:
Email:
Security Code: *  
Comments:










Client Liability Waiver

I hereby acknowledge that I have submitted to a thorough physical examination by a licensed physician.

 

I hereby acknowledge that I exclude Patricia Dorton from all liability for sickness and or injury that I incur while following the personal training program or any other type of exercise program.

 

I hereby acknowledge that participation in the exercise program with Patricia Dorton is strictly voluntary, and I am participating entirely at my own risk.

 

I am aware to give a 24-48 hour cancellation notice of my appointment.

 

I am aware my sessions run from 20-25 min. If I am late it is considered part of my session.

 

I Understand and agree to all of the above.


Form will be signed at the time of first session.

 

 

Name:
Email:
Phone:
Weight:
Height:
Age: