Personal Training & Nutrition & Wellness Coaching Inquiry Form


Please complete the following application. This application will be submitted and reviewed by our Fitness team who will then select a personal trainer that best suits you. 

Payment for personal training is not due until first training session is scheduled with a trainer. Please contact Katy Walker with any questions 412-221-1099 ext. 6190 or kwalker@twpusc.org

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Email *
First Name of Participant *
Last Name of Participant *
Today's Date *
MM
/
DD
/
YYYY
Address Confirmation (Street, City, State) *
Phone Number *
Age *
Emergency Contact (Name, Phone Number, Relation) *
Select your training preference? *
Required
What are your fitness/nutrition goals? (Select three) *
Required
What is keeping you from achieving your Fitness/Nutrition Goals? *
Required
What motivates you? *
Required
Please note any past medical conditions or injuries below: *
When do you prefer to train? (Select all that apply) *
Required
What days do you prefer? *
Required
Please list any additional information that would help us match you with a trainer. *
Thank you for completing this form!
A trainer will be following up with you in 3-5 business days
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