Your Full Name

First Name

Last Name

Phone

(###)

###

####

Your Age

It can be our little secret ;)

I identify my gender as...

Coaching Style

Direct

Laid Back

Energetic

Supportive

Intellectual

Lifestyle Coach

Where would you like to train?

We offer personal training in San Francisco and Downtown Pleasant Hill. We also offer virtual personal training.

Which days would you prefer to workout with Kyle?

Monday (Waitlist Only)

Tuesday (Waitlist Only)

Wednesday (Waitlist Only)

Thursday (Waitlist Only)

Friday

What times of day work best for your schedule?

7-8 AM (Waitlist Only)

8-9 AM (Waitlist Only)

9-10 AM (Waitlist Only)

10-11 AM

11-12 PM

12-1 PM

1-2 PM

2-3 PM

3-4 PM (Waitlist Only)

Please select all activities you are currently involved in

Gym Membership

Virtual Workouts (ie: Tonal, Peleton, Barry's X)

Yoga

In-Person Group Fitness

Daily Physical Activities (ie: Bike, Hike, Run, Walk)

Meditation

Other

On a scale of 1-5, how would you rate your current activity level?

1 being rarely active + 5 being very active.

On a scale of 1-5, how would you rate your current state of health + wellness?

1 being very unhealthy + 5 being very healthy.

Fitness Goals: What 1-3 specific fitness goals would you like to work towards during your training? Do not feel pressured to list (3) goals.

Example: Become more flexible + improve my posture, Compete in a bikini competition, Run a marathon in under (4) hours, etc.

Do you have any pre-existing or current conditions, injuries, irritations or complications?

Summary & Date of Injury

Your best guess works for us!

Please select all Practitioners you are currently working with

Primary Care Physician

Chiropractor

Orthopedist

Physical Therapist

Body Worker

Other

24 Hour Cancellation

I understand that the training, programs, and events held by Kyle Gee may put me at risk for accidents, injury, illness, or death. I understand that there are risks inherent in any physical activity, including but not limited to falls and injuries sustained as a result of contact with other participants. I assume all responsibility for such risks. I understand it is my responsibility to communicate any physical or psychological concerns that may prevent me from taking part in an activity. I confirm I am physically and mentally able to perform every chosen activity. As I have read this waiver and acknowledge these facts, in exchange for the services that Kyle Gee will provide me during my participation, I agree to waive any responsibility or liability from Kyle Gee, Diakadi, its officers, employees, agents, representatives, organizers. This includes anyone entitled to act on my behalf arising out of my involvement in the training programs and/or events with Kyle Gee and Diakadi.

Thank you for your submission! We will be in touch with you within 1-2 business days. We are open Monday-Friday from 8AM-4PM and closed on major holidays. We look forward to seeing you soon!

Training by Kyle