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Date of Birth
Day
Month
Year
Multi-line address

Your personal details will be kept private and confidential and will only be used for the purposes of your assessment.


ABOUT YOUR SESSIONS


Inpeak provides physio-led exercise sessions designed to improve movement, strength, stability and overall function. Sessions may include:


• Spiral stabilisation


• Resistance band training


• Strength training


• Mobility and stretching


• Core stability


• Breathing techniques


• Group sessions


• Online sessions


These sessions are exercise-based and educational in nature.

YOUR RESPONSIBILITY


Physical training involves effort and carries natural risk. Possible effects may include:


• Muscle soreness


• Joint irritation


• Temporary fatigue


• Dizziness


• Aggravation of existing conditions


By signing below, you confirm:


• You are fit to participate in exercise.


• You will work within your own limits.


• You will inform your trainer of any pain, discomfort, or medical changes.


• You understand that results vary between individuals.

Inpeak and its trainers reserve the right to modify or pause sessions if, in their judgement, participation is not appropriate.

Inpeak accepts no liability for adverse effects arising from conditions or medications not disclosed on this form.'

GROUP & ONLINE SESSIONS


For group or online sessions:


• Exercises are demonstrated generally.


• You are responsible for adapting intensity to your own ability.


• You must stop immediately if you feel unwell or experience unusual pain

PAYMENT & 24-HOUR CANCELLATION POLICY


• Invoices are payable within 7 days.


• Sessions cancelled with less than 24 hours’ notice are charged in full.


• Missed sessions are non-refundable.


• Packages are non-transferable unless agreed in writing.

Medical History


• Musculoskeletal issues, fractures, disc problems


• Arthritis / osteoporosis / joint replacements


• Heart or blood pressure conditions


• Thrombosis or circulatory issues


• Diabetes / epilepsy / asthma / allergies


• Skin conditions


• Pregnancy / C-section history


• Major surgery


• Digestive / endocrine / neurological conditions

Do you have any of the mentioned?
Yes
No

General Wellbeing Sleep:


Energy:


Stress:


Smoking / Alcohol:


Diet:

If your health changes significantly between sessions — including new diagnoses, surgery, or pregnancy — please inform Inpeak before your next appointment. A new consent form may be required.

Your personal and medical data is held securely and used only for treatment purposes. It is not shared with third parties. You may request deletion at any time. See our Privacy Policy at inpeak.co.uk/privacy

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