1-0n-1 Personal Training
“Healthy body, Healthy mind”
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Gender
Please Select
Male
Female
Training type:
Weight Loss
Weight Gain/ Bulk
Athletic Performance
Package Type:
$250/ Monthly
$100/ Weekly
Payment Type:
Apple Pay
Cash App
Zelle
Goal Description:
If you chose “Athletic Performance”, what sport do you play?
How often do you workout?
None
0
1
2
3
4
Everyday
5
0 is None, 5 is Everyday
Any Injuries or Health Conditions? Please list them below
List of Allergies and Foods you avoid:
Contact at:
Email: scselitetraining@yahoo.com | Instagram:@ChopShop.training
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