Berkeley Personal Training Interest Form

Berkeley Y Personal Training Interest Form

Fill out the form below and one of our trainers will be in touch shortly
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Are you currently a Berkeley YMCA member?*

YesNo
Tell us about your goals for Personal Training! Check all that apply.*

Weight lossBuild muscleIncrease enduranceIncrease flexibilityIncrease balanceTraining for specific eventOne-on-one Pilates workPre or Postpartum trainingOther
How often do you currently engage in physical activity?*
What days work best for you to train? Check all that apply.*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
What part of the day works best for your training schedule? Check all that apply.*

6:00am - 8:00am8:00am - 10:00am10:00am - 12:00pm12:00pm - 2:00pm2:00pm - 4:00pm4:00pm - 6:00pm6:00pm - 8:00pm
Should be Empty:

Berkeley Y Personal Training Interest Form