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 NameLast Name
Phone Type*
Select Type
Phone Number*

Area CodePhone Number
Phone Type
Select Type
Phone Number

Area CodePhone 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 ?*

YesNo
What does your routine look like?

WalkJog/RunBikeSwimAttend classesWeightsStretching/foam rollers
I like my work out intensity to be:*

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

YesNo
If Yes, please select all goals that apply:

Lose weight 10-20lbsLose weight 20-40lbsLose weight +40lbsBuild muscleGet strongerRelieve stressImprove overall healthLower blood pressure or cholesterolBuild staminaAll of the above
Do you have any known conditions/disease?*

YesNo
Please briefly describe your condition / disease:
Have you had an injury in the past 5 years?*

YesNo
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?*

MondayTuesdayWednesdayThursdayFridaySaturday
What time(s) work best for you to meet with your trainer?*

Before 8a9a–11aAfternoonAfter 5p
Additional Comments?
Should be Empty: