To sign up for 1:1 Personal Training, you’ll need to complete this registration form and then make payment, the payment details will show once you’ve filled out all the information here.

All information is 100% confidential and will not be disclosed or shared with anyone else. If you have any questions about this form, then please drop me an email at

I’m looking forward to working together!

About you

What's your preferred way of keeping in contact in between sessions?

Your health

Has your doctor ever said you have a heart condition and that you should only do physical activity recommended by a doctor?
Do you feel pain in your chest when you do physical activity?
In the past month, have you had a chest pain when you were not doing physical activity?
Do you lose balance because of dizziness or do you ever lose consciousness?
Do you have a bone or joint problem ( for example back, knee or hip) that could be made worse by a change in your physical activity?
Is your doctor currently prescribing medication for your blood pressure or heart condition?
Do you know of any other reason why you should not take part in physical activity?

If you answered YES to one or more questions: You should consult with your doctor to clarify that it is safe for you to become physically active at this current time and in your current state of health.

If you answered NO to one or more questions then we can continue with our first appointment!

Your goals

How would you describe your current fitness levels?
Are you interested in receiving a fitness programme so you can train independently in between our sessions? *


I'm a fully qualified Level 3 Personal Trainer and Pre/Post-Natal Specialist. I'm fully covered by Professional and Public Indemnity insurance.