Kids in Training Interest Form

Kids in Training Program Interest Form
Fill out the form below and a member of our team will reach out to discuss the program and schedule you and your child for a free 30-minute Kids in Training equipment review with a HAC Personal Trainer. This training is required for program eligibility.
Parent's Full Name*

First NameLast Name
Parent's E-mail*
Parent's Phone Number*

Area CodePhone Number
Child's Full Name*

First NameLast Name
Child's Date of Birth*

MonthDayYear
Date
Trainer Preference

MaleFemaleNo preference
What days work best to train?*

MondaysTuesdaysWednesdaysThursdaysFridaysSaturdaysSundays
And times?*

Early mornings (before 8:00 am)Mornings (8:00 am - 12:00 pm)Afternoons (12:00 pm - 4:00 pm)Evenings (4:00 pm - 7:00 pm)Late evenings (after 7:00 pm)
Does he or she have any physical or medical concerns that need to be addressed or that the trainer should be aware of?

YesNoI'm not sure
Please explain
Additional comments, questions, or goals
Should be Empty:

Kids in Training Program Interest Form