Personal Training Enquiry

Title
Ms
Miss
Mrs
Mr
Cr
 
First Name *
 
Last Name *
 
Your Email Address *
 
 
 
Comments
 
Telephone Home *
 
Telephone Mobile *
 
Date of Birth *
calendar
 
Gender *
Male
Female
 
Membership Number (if known)
 
What type of personal training are you interested in?
Individual
Couples
Groups
 
How often would you like to train per week? *
 
Preferred training days and times *
 
Why are you interested in Personal Training? *
 
Program session time frames *
30 mins
60 mins
 
Please list your 3 main goals What are your favourite types of exercise?
Weight/Strength
Cardio
Boxing
Other
 
Do you have a trainer preference?