1-1 Personal Training Application Form
Chloe Pluck Personal Trainer
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
E-mail
*
example@example.com
What are you most interested in?
1-1 PT Sessions
Small Group Sessions
Block of Sessions
Other
Why are you interested in working with a Personal Trainer? I.e. Weight loss, strength building, improve fitness levels, etc.
*
Are you a member of JD Gym Southside?
*
To train with myself as your PT, you must be a member with JD Gyms, is this something that would affect training with myself?
Yes
No
What is your current availability? (Date/time throughout the week Mon-Sun)
Any additional comments, things I should know or questions?
How would you most prefer me to respond to your application?
*
Text Message
Email
Whatsapp
Phonecall
Social Media (If so, please leave Instagram username in additional comments)
Lastly, how did you hear about me?
*
Instagram
Facebook
JD Gym
Recommendations
In person
Other
PLEASE NOTE - I will contact you back ASAP with more information, please bare with me.
Submit
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