NAME *

First & Last

First Name

Last Name

*

Phone Number. Super important for me to reach you concerning your program & check - in's each week.

Country

(###)

###

####

TRAINING START DATE *

I recommend the 1st of the month OR the middle of the month. **Must be at least 1 week away from current date**

MM

DD

YYYY

TIME/DAYS *

List your daily commitment. Workouts range from 30-60 mins.

1-2 days

2-3 days

3-4 days

5 days

EXERCISE & TRAINING SPECIFICS *

Be specific, this will make the planning process smoother if I know what you need. DO NOT just select all of them. Select 2-3 MAX.

ATHLETES ONLY - S&C Programming

Mobility & Movement

Injury Prevention

1st Timer Program

Intro to Weight Lifting & Compound Movements

Pilates

CHEER CONDITIONING

Something Else...

EQUIPMENT *

All materials you will have access to. This helps me personalize you training. No cookie cutter programs here.

Free weights - 5 & 10lbs

Free weights - 20-30+lbs

Squat Rack

Upper Body Machines

Lower Body Machines

Yoga Mat

Yoga Blocks

Resistance Bands - Small

Resistance Bands - Long

Bench

Box(es)

Med Ball(s)

Battle Ropes

Cardio Equipment

Commercial Gym

Pilates Studio

Track

Field

PRICING AND DISCLAIMER *

Price and Time Frame I recommend committing to at least 4 weeks of training to begin seeing meaningful adaptations. The cost for this 4-week program is $170/month, which covers the time spent on personalized programming, weekly check-ins, and unlimited program adjustments throughout the month. This is a MONTH by MONTH, not a subscription plan. For athletes training toward a specific event or adaptation, programming will be more detailed and tailored—this typically averages $8–$10 per workout, with a minimum of 3–4 training days per week. Please note: pricing may fluctuate slightly as BuiltByBri Athletics LLC adjusts rates based on clientele needs and interest during any trial period. Payment Method You will be redirected to submit payment directly after submitting this form. Weekly Check-Ins Check-ins are generally conducted mid-week (Wednesday through Friday) via text. If we transition to using an app platform, all communication and check-ins will be managed directly through that portal for convenience and consistency. Form Check - Text me over a video if you are having issues with form, I can assist you and give you cues to adjust the movement. By submitting this form and checking the box below; you then sign the waiver and release form below - Waiver and Release: I, the undersigned, wish to participate in all activities offered. I understand that these activities involve physical exertion, which may include cardiovascular exercises, and the use of facility’s equipment. I acknowledge and agree to the following: ● I am voluntarily participating in the personal training with BuiltByBri Athletics at my own risk. I am aware of the physical demands and potential risks associated with these Activities, including the risk of injury, illness, or death. ● I am in good physical condition and have no medical conditions that would prevent me from participating in the activities. I have consulted with a medical professional if I have any concerns about my health or ability to participate. ● I understand that its trainers, staff, and representatives are not responsible for any injuries, damages, or losses that may occur as a result of my participation in the Activities, including those caused by the negligence of its personnel. ● I hereby release and discharge the company BuiltByBri Athletics LLC, its owners, trainers, staff, contractors, and representatives from any and all claims, liabilities, demands, actions, or causes of action arising out of or related to my participation in any activity - in person or online training options. ● I agree to indemnify and hold harmless its owners, trainers, staff, contractors, and representatives from any claims or liabilities arising from my actions or behavior during the activities. ● I grant the right to use my image, likeness, and voice in photographs, videos, and other media for promotional and marketing purposes. ● I agree to follow all facility rules, guidelines, and instructions provided by staff during my participation in the activities. Even when these activities are held in a public place like a park or field. ● I agree to follow all facility rules, guidelines, and instructions provided by staff during my participation in the activities when held in a privately owned facility rented by BuiltByBri Athletics for these activities. I HAVE CAREFULLY READ AND FULLY UNDERSTAND THIS WAIVER AND RELEASE FORM. I AM AWARE THAT BY SIGNING THIS FORM, I AM WAIVING CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE FOR ANY INJURIES OR LOSSES I MAY INCUR. I VOLUNTARILY AGREE TO ALL TERMS AND CONDITIONS STATED ABOVE.

Yes, I accept

E-SIGNATURE *

FIRST & LAST NAME

First Name

Last Name