Oakland Personal Training Interest Form

Oakland Y Fitness Interest Form

Fill out the form below and we will be in touch shortly.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Are you currently an Oakland YMCA member?*

YesNo
Tell us about your fitness goals! Check all that apply.*

Weight lossBuild muscleIncrease enduranceIncrease flexibilityIncrease balanceTraining for specific eventOne-on-one Pilates workPre or Postpartum trainingOther
Which fitness program are you interested in?*

1 on 1 Personal TrainingSmall Group TrainingY Circuit Orientation (intro to full body strength machines)
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
Tell us more about your fitness needs.
Should be Empty:

Oakland Y Fitness Interest Form