Personal Training Interest Form

Please complete the form below. Required fields marked *

First Name*

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Last Name*

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Email*

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Phone Number*

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Age*

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Reasons for inquiry/goals

Please select why you are interested in a personal trainer and what you hope to achieve

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Improve Physical & Mental Health

Build Consistent Wellness Behaviors

Improve Strength & Cardiovascular Health

Address Specific Health Issues

Improve Flexibility

Injury Rehabilitation

Increase Muscle Mass

Sport Strength & Conditioning

Other:

If Other, please describe

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Why are your goals important to you?*

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Current and/or Previous Injuries*

Have you had, or do you presently have any injuries that we should know about?

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Trainer Gender

If you have a gender preference for your trainer, please choose one of the below.

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Male

Female

No Preference

Trainer Preference

If you have one or more preferred trainers in mind that you'd like to work with, please provide their names in the box below.

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Training Availability

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Please fix the highlighted areas below before submitting.