Personal Training Interest

Interested in Personal Training
Full Name *

First Name Last Name
E-mail *
Phone Number *

Area Code Phone Number
Member Status *

Member Non-member
Have you done your Fitness Health Appraisal with us? *

Yes No
Trainer Preference *

Male Female No preference
Are you interested in any specialized personal training?

Aquatic Personal Training Muscle Activation Techniques (MAT) Personalized Run Coaching Sports Performance Training Triathlon Training The 300 League
What days work for you? *

Mondays Tuesdays Wednesdays Thursdays Fridays Saturdays Sundays
And times? *

Early mornings (before 8:00 am) Mornings (8:00 am - 12:00 pm) Afternoons (12:00 pm - 4:00 pm) Evenings (4:00 pm - 7:00 pm) Late evenings (after 7:00 pm)
Please indicate your personal health & fitness goals (check all that apply). *

Lose weight Feel better/more energy Cardiovascular fitness Improve flexibility Improve balance/stability Injury rehab Lower cholesterol and or blood pressure Improve muscle tone/strength Improve athletic performance Pre/post-natal Reduce stress Reduce back pain Learn how to use specific equipment Create a program to use at home General fitness
Do you have any physical or medical concerns that need to be addressed or that your trainer should be aware of?

Yes No I'm not sure
Please explain
Additional comments, questions, or goals
Should be Empty:

Interested in Personal Training