Regis Personal Training Services Request

Name*

First NameLast Name

Date of Birth

MonthDayYear

Gender*

Email*

example@example.com

Phone Number*

Area CodePhone Number

Zip Code*

Preferred Appointment Times*

MorningsAfternoonsEvenings

Description of Personal Training Goals

I'm interested in*

1 session =$405 sessions = $175 ($35/session)10 sessions = $300 ($30/session)

I am a:

Current Regis StudentRegis Faculty/StaffRegis AlumniLocal Community Member

Request an Personal Training Appointment