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    Step 1 Your Details

      Your Personal Details

    • Emergency Contact Details

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    Step 2 Health Assessment

      Please answer the following:

    • Yes
      No
    • RHS
      LHS
      Other
    • Your current medication

      Medication name
      Strength
      How often
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    Step 3 Your History

      Do you have, or have had in the past:

    • Yes
      No
    • Yes
      No
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      No
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      No
    • Yes
      No
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      No
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      No
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      No
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      No
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      No
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      No
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      No
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      No
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      No
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    Step 4 Terms & Conditions

    Exercising safely

    Before you begin any exercise, programme or begin to follow any of the personal training recommendations, advice or other instructions, you should first consult your doctor and have a physical examination. The recommendations, advice and instructions provided by Kieron Franklin and JK House, are in no way intended to replace or to be construed as medical advice. JK House, offers no warranties or representations regarding the advice, instructions, email advice or any other information provided. You should be aware and accept that participating in exercise has a risk of causing injury, both minor and potentially major. JK House shall not be liable for any claims, demands, damages, rights of action or causes of action, present or future, arising out of or connected to any instruction or information provided, including any injuries resulting there from.

    Payments and Cancellations

    JK House requests full payment in advance for all personal training services prior to commencement of contracted time period. This is non-refundable. Notification of cancellation for pre-booked personal training sessions is requested at least 24 hours in advance of the appointed time, to incur no charge. No notification of cancellation or not arriving for the appointment incurs the full fee for the session.

    All contracted personal training sessions must be used within 3 months commencing from the first paid session with the exception of personal training sessions paid by direct debit, which must be used within the calendar month which they were paid for. In the event that your personal trainer cancels a pre-booked session providing less than 24 hour's notice, your personal trainer should reschedule the missed session. All personal training sessions cancelled by the Trainer and paid by direct debit should be rescheduled by the trainer with the client.

    Your Privacy

    We recognise that privacy is a fundamental element of public trust and confidence in our service. We are well aware of client's privacy concerns and as such, adopt responsible privacy standards to provide clients with privacy protections in accordance with the GDPR Data Protection Act 2018.

    Photo Release

    JK House Training Centre has my permission to use my or my child’s photograph publically to promote the library. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.
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  • Disclaimer

    I wish to engage voluntarily in the rehabilitation and exercise programme training on offer by JK House Training Centre, which I understand is based on lines of best practice for evidence-based approaches and innovated strategies for rehabilitation for stroke survivors. As such there will be a degree of physical activity required and I understand and accept that my level of success will depend to large extent on my own level of effort and motivation. I understand that the training I am about to embark on is low level but entirely at my own risk. Insofar as I may have concerns over my ability to undertake such physical activities, I have taken all necessary steps and taken such advice as may be necessary (including but limited to liaising with my GP) before any sessions may commence.

    I understand that the activities are designed, if advice is followed, to place a gradually increasing workload on my body to improve overall action control in my limbs, strength and fitness. Throughout the training I understand that I am fully responsible for both highlighting any unusual symptoms which may occur and to take advice from the above-mentioned trainer as a result which may require me to cease my participation in the sessions immediately if contra-indications to training arise or are suspected.

    In signing this consent form, I expressly confirm that I have read and accepted and understand its terms and conditions in their entirety and that I understand the nature of what constitutes rehabilitation exercise via explanation / guidance from an instructor with JK House Training Centre.

    Client

    Trainer