Strength Foundations Enrollment Form [Autumn ‘25] Name * First Name Last Name Pronouns Email * Choose Your Schedule: * Choose 2 if you signed up for 2x/week Sundays 9:00am Tuesdays 6:15pm Thursdays 6:15pm Drop Ins What are your goals for this 8 week session? Select all that apply: Get stronger Increase muscle mass Improve balance / coordination Feel more confident / familiar with strength training Complete a stress cycle Improve pelvic floor health Be in community / meet friends! Other Has anything changed since your last session that I need to know about? Pelvic floor symptoms, health status, injuries, etc Select any option below if it describes you currently: Pregnant Postpartum Peri/postmenopausal If pregnant, how many weeks? How are you feeling? If postpartum, how many weeks/months? How is your recovery going? Ex: cesarean birth incision healing update Anything else you'd like me to know before this session begins? Any feedback from the previous session that you'd like me to have? What did you like? What could be improved? Emergency Contact * First Name Last Name Emergency Contact Phone Number * (###) ### #### Release of Liability * can be found at https://www.kimberlysmithmovement.com/releaseofliability-inperson I have read, understand and agree to the terms of the release of liability Check that you understand each of the following: * Kim is allowed to cancel 1 workout due to illness / unforseen circumstances. After that, any additional canceled workouts will be made up at the end of the fall session. This is a body positive, weight neutral and safe exercise space for all! Life isn't perfect, neither is my workout schedule. It's ok if I have to miss a workout, I'm always welcome back. If I'm sick I'll stay home, it's ok to rest! It's ok if I'm running late, I'll still show up to the workout! If I'm signed up for drop ins or 1x/week and I miss a session, I know I can make it up ahead of time or after. If I'm signed up for 2x/week, the cost per session is lower to account for life and the fact that I'll probably miss a session here or there, and that's ok! I’m so glad you’re joinng Strength Foundations again!As we get closer to September I will email you a welcome packet that has all the info you need before our first session.I will also confirm our schedule prior to September 4th.
