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Health Questionnaire.

Before you start training with us, tell us about your health history. This helps your coach build a program that's safe for you. Fill out the form below and we'll follow up if we need anything else.

Your answers save automatically on this device as you go, so an accidental refresh won't lose your progress. Nothing is sent to us until you press Submit.

Who is this for? (required, add a row for each child training with us)

First Name (required)

Last Name (required)

Age (required)

Your Contact Info (parent or guardian, if signing up a child)

Email (required)

Phone (required)

Emergency Contact

Name (required)

Phone (required)

Does any of the following apply to anyone listed above? (required, check all that apply)

Heart condition or heart surgeryChest pain during activity or at restDizziness or loss of balanceBone, joint, or soft-tissue problem that activity could make worseHigh blood pressureDiabetesAsthma or breathing conditionCurrently pregnantOther (explain below)None of the above

If you checked anything above, please say who it applies to and explain

Current medications (note who takes each one)

Past injuries or surgeries we should know about (note who)

Fitness goals

Photo & Video ReleaseYes, Trinity Training can use photos and videos of the person(s) listed above on social media, our website, and in marketing.

Exceptions (name anyone above you'd like left out of photos and videos)

I confirm the information above is accurate, and I understand I should talk to a doctor before starting a new exercise program if I have a health concern. (required)

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Address: 19460 144th Ave NE, Woodinville, WA 98072