Consultation - Elite Technique

Name*

First Last

Email*

Consultation Time You Would Like?*

Morning Between 5am-9am
Evening Between 4pm-9pm

We will call you to set the exact time.

Which Monthly Package are you interested in?*

5 Days a Week $500
4 Days a Week $460
3 Days a Week $380
2 Days a Week $280

Packages are 4 Weeks Long

Which Location*

Hanover, MD (Reserve your spot)
Missouri City, TX
Rockville, MD
Baltimore (Pikesville), MD
Largo (Capitol Heights), MD
Beltsville, MD
Clinton, MD

Phone*

Current Height*

Current Weight*

Any Physical Limitation Such as Injuries or Other?*

What do you want to do?*

How much weight would you like to lose?*

How much weight would you like to gain?*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Signature*

PRICING AND PAYMENT I acknowledge and agree that this Personal Training Contract is not transferable or assignable. I acknowledge that payment is required for blocks of sessions in advance of actual training sessions. I agree to pay in advance for training sessions. I understand this money is not refundable. I understand this contract and the terms it presents is for the purchase of sessions and any other purchase of services in the future. I acknowledge that this specific contract, release of liability, consent, and agreement is continuously valid indefinitely. I understand that a minimum requirement of one session per week must be completed or I will be charged for the session(s) missed. No refund will be granted for sessions that have not been completed. I understand Elite Technique LLC has the right and the authority to terminate the program at any time, with no refund, if I do not follow the program or fail to conduct myself in an appropriate manner. By making this payment, I attest, contract, acknowledge, and agree that I am legally bound by its content. Terms and Conditions RELEASE OF LIABILITY (Please Read Carefully) I have enrolled in a program of strenuous physical activity including, but not limited to walking, running, boxing, yoga, aqua aerobics, massage therapy, weight lifting, bicycling, in-line skating and the use of various conditioning and exercise equipment and facilities designed, offered, recommended, and/or supervised by Elite Technique LLC. I hereby affirm that I am in good physical condition and do not suffer from any disability that would prevent or limit my participation in this program. In consideration of my participation in the program, I for myself, my employees, heirs, assigns, agents, officers, directors, shareholders and co-workers hereby release Elite Technique LLC, its employees, heirs, assigns, agents, officers, directors, and shareholders, from any and all claims, demands or causes of action arising from my participation in the program or from any use of the conditioning and exercise equipment and facilities. I fully understand that I may suffer injury as a result of my participation in the program and I hereby release Elite Technique LLC from any and all liability now or in the future, including but not limited to medical expenses, lost wages, pain and suffering, that may occur by reason of heart attacks, muscle strains, pulls or tears, broken bones, shin splints, heat prostration, knee/lower back/foot injuries, and any other illness, soreness, or injury, however caused, whether occurring during or after my participation in the program or use of the conditioning and exercise equipment and facilities, regardless of fault. By Signing this document, I attest, contract, acknowledge, and agree that I am legally bound by its content. CANCELLATION AND LATENESS I acknowledge that appointment times are reserved and that cancellations must be made 24 hours in advance. Cancellations must be made by calling 240-565- 4725 (voicemail will record date/time). I understand that I will not receive a refund for missed appointments. It is my responsibility to attend my personal training appointments when they are scheduled. I understand that appointments will begin and end promptly as scheduled. I acknowledge that any delays to the start of a scheduled appointment will not be a cause of extend provided service beyond the remainder of the scheduled time. I will not expect or ask my trainer to run overtime. I understand that if I am 15 minutes late my session will be canceled and I will be charged for that session. I understand that sessions will run approximately 30 minutes unless otherwise stated. I acknowledge that a delay to a scheduled session cannot change the session status to anything else except a whole session. I understand that there are no half sessions because of any delay. By making this payment, I attest, contract, acknowledge, and agree that I am legally bound by its content.