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AMY LAMONT FITNESS

Client Information Form

Please complete this form before your first class. 

Which classes are you attending?
How did you hear about Amy?
Have you ever been diagnosed with?
Do you have any pain or limited movement in:

Assumption of Risk: I hereby state that I have read, understood and answered honestly the questions above. I also state that I wish to participate in activities which may include aerobic exercise, resistance exercise and stretching. I realise that my participation in these activities involves the risk of injury and even the possibility of death. Furthermore, I hereby confirm that I am voluntarily engaging in an acceptable level of exercise, that has been recommended to me. Should I attend a class led by another instructor I accept responsibility for informing them of, and keeping my instructor updated with any changes to my medical condition.

Thanks for completing the form.

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