Personal Training Request

We are pleased you are contacting us to learn more about Personal Training! To help us meet your needs, please take a few minutes to complete the questions on this form. It will help provide us with the information and direction we will need to make our time together meaningful and helpful.  Once you submit this document, it will be sent directly to our Fitness Director to review and follow-up with you.  Please give us up to 48 hours to respond. We look forward to talking with you! Thank you!  

First Name
Last Name
Age
Preferred Phone (xxx-xxx-xxxx)
Email
I am interested in (check all that apply):
 Free Personal Training Consultation
 Individual Personal Training
 Partner Personal Training
 Small Group Training
 Train Your Way
I prefer to work with:
 Female Trainer
 Male Trainer
 No preference
 Specific Trainer
Name of Trainer:
Please share any additional information that would be helpful and/or special considerations for us to consider if we need to match you with a trainer.