FORMS

PERMISSION TO DISCUSS CONFIDENTIAL HEALTH INFORMATION

New Here?

Shawnda needs as much information as possible so that she can tailor your program and classes to best meet your needs.

Click here to download a copy of the Permission to Discuss Form. Print it, fill it out and bring it with you to your first appointment or class.

Click here to download a copy of the Client Information Questionnaire. Please print it, fill it out and return it at least two days before your first session so that Shawnda can make sure you get the most out of your training from day one.

Click here to download a copy of the Release of Liability Form. Print it, fill it out and bring it with you to your first appointment or class.

PRENATAL PARmed-X FOR PREGNANCY

Stay Safe!

PARmed-X for PREGNANCY is a guideline for health screening prior to participation in a prenatal fitness class, personal training or other exercise.

Click here to download a copy of the Physical Activity Readiness Medical Examination. Print it, fill it out and bring it with you to your first appointment or class.

POSTNATAL SCREENING

Taking a Class?

As with individual training, Shawnda needs to make sure she knows that your body is ready to move.

Click here to download a copy of the Activity Readiness Questionnaire. Print it, fill it out and bring it with you to your first class.

Important Note:

Pregnant clients are required to complete PAR-med-X for Pregnancy form with their healthcare provider prior to exercise.
All clients are required to complete the Client Information Questionnaire and return it at least two days prior to the first scheduled session.
Please submit the P-PARQ and Postnatal Activity Readiness Questionnaires to screen for any contraindications to exercise and submit prior to class.

CONTACT FOR MORE INFO

SOCIAL MEDIA

  

STUDIO LOCATION

250 Bridge St. W. Belleville, ON K8P 5N3

(Located on Stinson Ave. behind the Belmont Long Term Care Facility)

By appointment or in-class only.

Phone: 613-438-6291