Free Trainer Session Registration

Free Trainer Session Registration

Fitness and Recreation Center at Houston's First Baptist Church
Welcome to the Fitness Center at Houston’s First.

We are so glad you are going to be working out with us and we want you to have what you need to reach your fitness goals. If you would like to be contacted to schedule your free session fill out the following information and we will get you going.
Full Name *

First Name Last Name
Phone Type *
Select Type
Phone Number *

Area Code Phone Number
Phone Type
Select Type
Phone Number

Area Code Phone Number
E-mail
Give us a little information about you so we can schedule you with a trainer who will be a good fit.
How Many times per week do you work out?
For how long (length of time)?
Are you just getting back into a regular routine ? *

Yes No
What does your routine look like?

Walk Jog/Run Bike Swim Attend classes Weights Stretching/foam rollers
I like my work out intensity to be: *

Low Moderate Hard
Tell us a little about you.
Age *
years
Height
inches
Weight
pounds
Do you have a fitness goal? *

Yes No
If Yes, please select all goals that apply:

Lose weight 10-20lbs Lose weight 20-40lbs Lose weight +40lbs Build muscle Get stronger Relieve stress Improve overall health Lower blood pressure or cholesterol Build stamina All of the above
Do you have any known conditions/disease? *

Yes No
Please briefly describe your condition / disease:
Have you had an injury in the past 5 years? *

Yes No
Please briefly describe your injury:
What do you do for a living or for the majority of your day?
What activities do you enjoy?
What day(s) work best for you to meet with your trainer? *

Monday Tuesday Wednesday Thursday Friday Saturday
What time(s) work best for you to meet with your trainer? *

Before 8a 9a–11a Afternoon After 5p
Additional Comments?
Should be Empty: