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Personal Training Request Form
Please fill out this short form to help us identify the best trainer for you!
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Name
*
Your answer
Email
Your answer
Phone number (optional)
Your answer
Preferred method of contact
E-Mail
Phone Call
Either
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Please list your top 3 fitness goals in order of importance.
Your answer
What days and times are best for you to meet with a trainer?
Your answer
What, if any, injuries or medical considerations do you have?
Your answer
Do you prefer a...
Male Trainer
Female Trainer
No Preference
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I am requesting the following appointment (please select one)
FREE Fitness Orientation (for 1 or 2 year contracted members only)
$30 Fitness Orientation (for non-contracted members, payment will be due at appointment)
Regular Personal Training
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If this is a fitness orientation do you have any interest in further personal training?
Yes
No
Maybe
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Any other questions or comments have for us?
Your answer
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