Onboarding Page Membership | Embrace Body FN

Full legal name *

Preferred name / pronouns

Date of birth *

Month

Day

Year

Mobile phone *

Email *

Street address *

City, state, ZIP *

Emergency contact — name, relationship, and phone *

Small-group plan

One-on-one training plan

6 sessions — $175/30 days

8 sessions — $249/30 days

12 sessions — $349/30 days

16 sessions — $499/30 days

Additional services of interest (Nutrition, Styku 3D, InBody, Other)

Preferred contact method

Embrace Body app

Text

Email

Phone

How did you hear about Embrace Body?

Auto-renewal initials (leave blank if not on a recurring plan) — BY INITIALING, I agree my plan will automatically renew monthly and charge my payment method each month until I cancel

Diagnosed or treated conditions — select all that apply

Conditions, diagnoses, surgeries, hospitalizations, medications, supplements, and allergies or adverse reactions

Primary healthcare provider, provider phone, and date of last physical

PAR-Q 1: Has a healthcare professional ever told you that you have a heart condition or should only exercise under medical guidance?

Yes

No

PAR-Q 2: Do you feel chest pain, unusual pressure, or significant shortness of breath during activity?

Yes

No

PAR-Q 3: In the past month, have you had chest pain while not exercising?

Yes

No

PAR-Q 4: Do you lose balance because of dizziness, or have you lost consciousness?

Yes

No

PAR-Q 5: Do you have a bone, joint, back, or other condition that could worsen with exercise?

Yes

No

PAR-Q 6: Are you currently pregnant, recently postpartum, or advised to modify activity?

Yes

No

PAR-Q 7: Is there any other reason you should not begin or increase physical activity today?

Yes

No

Primary goals — select all that apply

Describe your top three goals and why they matter to you right now

Current activity level

Exercise experience, current routine, and current pain, injuries, or limitations

Lifestyle: average sleep (hrs), stress level (0-10), water intake/day, average steps/day, and any barriers to consistency

Nutrition priorities — what support are you seeking?

Nutrition goals, food allergies/intolerances, dietary preferences or restrictions, and a brief description of a typical day of eating

Health and eating history — select all that apply

Policy 1 initials * — Payment, Deposits & Refunds: All fitness plans are final sale and nonrefundable. Payment due before service. Missed or unused services do not create a refund.

Policy 2 initials * — Booking & Scheduling: Fitness booking opens up to four days in advance. Same-day booking closes three hours before session. All bookings must be confirmed before attendance.

Policy 3 initials * — Cancellations, Emergencies & No-Shows: Cancel at least one hour before start time. Late cancellations incur a $10 fee. A no-show may count as used and incur a $10 fee. Late arrival does not extend the session.

Policy 4 initials * — Session Use, Expiration & Rollover: Sessions must be used within the 30-day cycle. Only ONE UNUSED SESSION may roll into the next cycle. All additional unused sessions expire.

Policy 5 initials * — Pauses, Expired Plans & Account Status: A pause of up to three weeks may be approved with advance notice. An expired plan cannot be renewed; client must enroll in a current plan.

Policy 6 initials * — Assessments & Plan Benefits: STYKU 3D IS NOT INCLUDED WITH A 5-CLASS PACKAGE OR INSURANCE MEMBERSHIP. Included benefits have no cash value.

Policy 7 initials * — Insurance, Wellness Benefits & Client Responsibility: Eligibility verification is not a guarantee of payment. Client is responsible for copays, denied claims, and noncovered services.

Policy 8 initials * — Communication & App Scheduling: Scheduling and routine questions go through the Embrace Body app. The app is not monitored for emergencies; call 911 for an emergency.

Policy 9 initials * — Safety, Conduct & Shared Space: Follow coaching instructions, facility rules, and respectful conduct standards. Report pain, dizziness, injury, pregnancy, or medication changes promptly.

Policy 10 initials * — Scope, Referrals & Updates: Fitness and nutrition coaching are not medical diagnosis or treatment. Policies may be updated with notice.

Plan type — select all that apply

5-class package

Insurance membership

One-on-one training

Other small-group plan

Policy 11 initials * — One-on-One Training Plans: Plans use a 30-day billing cycle. Auto-renewal is OPTIONAL and requires the front-page opt-in. Requested times are not guaranteed. Late-canceled or missed sessions may count as used.

Policy 12 initials * — Small-Group Memberships: AUTOMATIC RENEWAL IS OPTIONAL for recurring small-group plans. Not attending or not booking does not by itself cancel the plan. SC cancellation rights remain unchanged.

Policy 13 initials * — One Unused Session Rollover: Only ONE UNUSED SESSION may carry into the next cycle on an eligible active plan. The rollover has no cash value. No rollover remains after cancellation or expiration.

Policy 14 initials * — No Refunds, Cancellations & Current Plans: One-on-one plans, small-group memberships, and current-cycle charges are NONREFUNDABLE except as required by law.

Training plan acknowledgment — full legal name *

Training plan acknowledgment — signature (type full legal name) *

Training plan acknowledgment — date *

Liability waiver — client full legal name *

Liability waiver — client initials *

Liability waiver — date *

Liability waiver — signature (type full legal name) *

Assessment(s) authorized

Styku 3D

InBody

Combined wellness assessment

Not applicable

Assessment consent — client full legal name, initials, date, and signature (type full legal name) *

Communication permission — select all channels you consent to

App notifications

Text/SMS

Email

Phone/voicemail

Photo/media permission

YES — I give permission for photos/media of me

NO — I do not give permission

If YES — approved uses (select all that apply)

Identity choice for media

May show face and name

No name

No face

Ask me before each use

Privacy & media — client full legal name, date, initials, and signature (type full legal name) *

Primary wellness goal and plan start date *

Commitment form — client full legal name *

Commitment form — signature (type full legal name) *

Commitment form — date *

South Carolina cancellation notice — client full legal name *

South Carolina cancellation notice — signature (type full legal name) *

South Carolina cancellation notice — date *