INTAKE & WAIVER

Full Name *

Why have you chosen to train with Ashley Soske Coaching? *

Please list any specific goals that you have

Do you participate in any other types of exercise? If so, please list all of your extra activities.

What types of workouts do you like? Check all that apply. *

High Cardio
Cardio and Strength
Athletic Based Workouts (Agility, track workouts, etc.)
Injury Prevention/Rehab
Low Cardio and High Strength
High intensity interval training (HIIT)
Circuits

How many times a week to do plan to workout with Coach Ashley? *

1 - 2
2 - 3
4 - 5
5+
Not Sure (we can discuss in the follow up consultation)

Please list any injuries or sensitive areas.

Are you physically able to train? *

Yes
No

Would you like healthy eating advice incorporated into training sessions? *

Yes
No

How will you be paying for these sessions? *

Venmo
PayPal
Zelle
Cash

I agree to sign a waiver and cancellation policy agreement from Ashley Soske Coaching. *

Yes
No

Because physical exercise can be strenuous and subject to risk of serious injury, your personal trainer urges you to obtain a physical examination from a doctor before beginning any exercise or training program. You agree that by participating in these physical exercise sessions or personal training activities, you do so entirely at your own risk. This includes, without limitation, (a) your use of all amenities and equipment in the facility and any off site location and your participation in any activity, class, program, personal training or instruction, (b) the sudden and unforeseen malfunctioning of any equipment (c) our instruction, training, supervision, or dietary recommendations. You agree that you are voluntarily participating in these activities and use of these facilities and premises and assume all risks of injury. You expressly agree to release and discharge your personal trainer or instructor, and from any and all claims or causes of action. This waiver and release of liability includes, without limitation, all injuries to you which may occur, regardless of negligence. If any portion of this release from liability shall be deemed by a Court of competent jurisdiction to be invalid, then the remainder of this release from liability shall remain in full force and effect and the offending provision or provisions severed here from. You acknowledge that you have carefully read this waiver and release and fully understand that it is a release of liability. You agree to voluntarily give up any right that you may otherwise have to bring a legal action against the personal trainer or instructor for negligence, or any other personal injury or property damage or loss action. *

Yes
No

I am the parent or legal guardian of the child/children listed above and I grant AshleySoskeCoaching.com and Ashley Soske Coaching my permission to use the photographs described as in the act of training, exercise and/or engaged in sports for any legal use, including but not limited to: publicity, copyright purposes, illustration, advertising, and web content. Furthermore, I understand that no royalty, fee or other compensation shall become payable to me by reason of such use. *

Does Not Apply to me
Yes
No

I grant AshleySoskeCoaching.com and Ashley Soske Coaching my permission to use the photographs described as in the act of training, exercise and/or engaged in sports for any legal use, including but not limited to: publicity, copyright purposes, illustration, advertising, and web content. Furthermore, I understand that no royalty, fee or other compensation shall become payable to me by reason of such use. *

Does Not Apply to Me
Yes
No

E-Signature *

By providing your full name you are confirming that you are the person filling out this form.