---
title: Senior Fitness Program Enrollment Form Template with Fall Risk Assessment | Paperform
description: Professional senior fitness enrollment form with health screening, fall risk assessment, chronic conditions tracking, mobility aids, and emergency contacts. Paperform template for senior care and wellness programs.
url: "https://paperform.co/templates/senior-fitness-program-enrollment-form"
type: static
generatedAt: "2026-03-28T00:45:09.573Z"
---

[← Back to free form templates](/templates/)    ![Senior Fitness Program Enrollment Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/senior-fitness-program-enrollment-form.png)
    [Preview](https://_preview.paperform.co/ai-template/senior-fitness-program-enrollment-form) [Use this template for free](/create?ai-template=senior-fitness-program-enrollment-form)    [Healthcare & Medical Forms](/templates/category/healthcare/)[Personal & Lifestyle](/templates/category/personal/) [Healthcare](/templates/industry/healthcare/)[Senior Care](/templates/industry/senior-care/)[Fitness & Wellness](/templates/industry/fitness-wellness/)[Nonprofit](/templates/industry/nonprofit/) [Physical Therapist](/templates/role/physical-therapist/)[Healthcare Administrator](/templates/role/healthcare-admin/)[Caregiver](/templates/role/caregiver/)[Fitness Trainer](/templates/role/fitness-trainer/)[Coach](/templates/role/coach/)[Nonprofit Director](/templates/role/nonprofit-director/)     About this free form template
### Stay Active and Safe with Senior Fitness Programs

Enrolling seniors in fitness programs requires careful attention to health history, mobility considerations, and safety protocols. This **Senior Fitness Program Enrollment Form** template from Paperform makes it easy to collect all the essential information you need—from fall risk assessments to chronic conditions and emergency contacts—in one professional, easy-to-complete form.

#### Designed for Senior Care Providers and Fitness Professionals

Whether you run a community center, senior living facility, physical therapy practice, or specialized senior fitness studio, this template helps you:

 - **Screen participants safely** with built-in health and mobility assessments
 - **Document chronic conditions** and medication usage for personalized programming
 - **Assess fall risk** with targeted questions about balance and previous incidents
 - **Capture emergency contacts** and physician information for peace of mind
 - **Streamline enrollment** with conditional logic that adapts to each senior's needs

The form's friendly, accessible design ensures seniors (or their caregivers) can complete it without confusion, while giving your team all the medical and contact information needed to create safe, effective fitness experiences.

#### Automate Your Senior Program Workflows

Once a senior submits their enrollment, you can use **Stepper** (stepper.io) to automatically route information to the right team members, send welcome packets, schedule assessments, update your CRM, and trigger follow-up reminders—keeping your operations running smoothly without manual data entry.

If you need signed waivers or medical release forms, **Papersign** (papersign.com) lets you turn submissions into legally binding eSignature documents, creating a complete audit trail from enrollment to signed consent.

#### Built for Health, Wellness, and Senior Care Teams

This template is trusted by fitness trainers, senior care coordinators, physical therapists, community program directors, and wellness coaches who need a professional, compliant way to onboard older adults into fitness programs. With Paperform's SOC 2 Type II compliance and secure data handling, you can confidently collect sensitive health information while maintaining trust with participants and their families.

Start with this template, customize the questions to match your program's requirements, and create a seamless enrollment experience that puts safety and personalization first.
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