Richmond Parkway Y Fitness Interest Form

Richmond Parkway Y Fitness 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.
Are you currently a Richmond Parkway 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
Which fitness program are you interested in?*

Complimentary Fitness Coaching Session1 on 1 Personal TrainingYMCA Fitness AssessmentSmall Group Training
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.
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