Before making payment, this form MUST be filled out completely and received by Nicki before an invoice will be drafted and subsequently, a money request will be sent. By submitting this form you are aware of payment protocol, rates, late fees and training and nutrition policies described on this website and/or indicated in your contract. You understand that you have the right to a refund of all unused services up to 7 days from purchase ONLY.

You are aware that Nicki will contact your health care provider (if applicable) prior to beginning any training or nutrition program to ensure a safe and healthy environment and program. You understand the risk associated with weight training and will follow instruction while under the direction of Nicki to avoid injury. You understand that communication, trust and compliance are essential to creating an optimal team and without these, attaining your goals will be difficult. You understand that while Nicki will put together the most sound and appropriate program(s) possible, it is up to you to execute them. The ultimate success of your goal attainment is in your hands, Nicki is simply the means to help you do so.
In addition, you understand that it is your responsibility to keep a copy of all forms, receipts and payment confirmations for your records.