Training Form
Fill out the form carefully for registration
Name
*
First Name
Middle Name
Last Name
Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
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Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
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2012
2011
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1929
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1926
1925
1924
1923
1922
1921
1920
Year
Gender
*
Please Select
Male
Female
N/A
E-mail
*
example@example.com
Mobile Number
*
Format: (000) 000-0000.
Current Fitness Level
*
Please Select
BEGINNER
INTERMEDIATE
ADVANCED
Current Weight?
*
Height?
*
REFERRAL (Did anyone refer you? If no, type NONE)
*
Activity Level?
*
Sedentary
Active
Very Active
Other
In person sessions last 35-40 Mins
Choose a time frame that will work for you, and then you and the trainer will schedule your sessions. You can always change and adjust your sessions as you go.
Time Frame Preference MON-FRI
*
Am
Pm
Mixture of both
What day(s) would you prefer? Choose all that you would prefer
Mon
Tues
Wed
Thur
Fri
Sat
Sun
Why do you want to reach your fitness goals?
*
What Are your Fitness Goals? Choose ALL that Apply
*
Build Muscle
Loss Body Fat
Lose Weight
Become more Healthy
Goal weight, if you have one
Protein that you eat, CHOOSE ALL that you eat
Chicken
Turkey
Beef
Seafood
Eggs
Carbs that you eat, CHOOSE ALL that you eat
Rice
Sweet potato
Pasta
Oats
Most fruits
Beans
Most vegetables
How soon are you ready to get started?
*
NOW
Next Week
Beginning of following Month
Are you able to make it to your sessions without constantly canceling?
*
yes
no
Are you ready to follow a guided nutrition plan?
*
Yes
No
Are you ready to change your life for the better, and start valuing your health?
*
Yes
No
Are you ready to try "YOUR" best during our training sessions?
*
no
Yes
Training Prices
Choose a MONTHLY option below
*
$125 (2 sessions per week [8 total])
I have a Partner
$165 (3 sessions per week [12 total])
Partner Training Prices
Choose a MONTHLY option below
*
$95 each (2 sessions per week [8 total])
I DO NOT have a partner
$125 each (3 sessions per week [12 total])
All payments are final. There are no refunds. You can only carry over sessions to the following month if agreed upon with you and the trainer. Missed sessions must be made up within two weeks. Click yes below to agree with the statement above.
*
yes
no
2 No call no shows in a month will result in a suspension in our training for one month. 4 total will result in a full cancelation of our training program. Please call or text the trainer, if you can't make your session. Click yes below to agree with the statement below.
*
yes
no
Any current or past injuries?
*
Any physical Limitations?
*
Do you need clearance by your Doctor to exercise?
*
Signature
Submit
All Options include virtual trainings during the week
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