Consent Form

Consent Form

Consent Form

Consent form for our Live and Face-to-Face classes

Please complete all required fields

This form must be completed before you participate in any of the Lesley Mitchell Fitness online exercise videos, on our website and our Facebook groups, and our Face-to-Face classes.

All fields marked with * are required.

    Have ever been diagnosed with any of the following: *

    Have you ever suffered from any of the following: *

    Type of Class *
    OnlineFace-to-Face

    Please Note: The information you provide on this Consent Form will only be used by Lesley Mitchell Fitness and will not be shared with any other third-parties.