Personal Training Interest Form

Personal Training Interest Form

Thank you for your interest in Personal Training! We are committed to finding a trainer that is right for you. Please fill out this form, and our Fitness Team will reach back to you to set up your first lesson. All personal training packages expire 1 year from date of purchase and are non-transferable. For questions regarding personal training contact Elsie Bennett at (562) 426 7601 ext 1056 or email ebennett@alpertjcc.org
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Preferred Contact Method*

PhoneEmail
Which days are you available to train?*

SundayMondayTuesdayWednesdayThursdayFridaySaturday
How many times per week are you looking to train?*

OneTwoThreeFourFiveSix
What area would you like to focus on? Select all that apply*

Weight managementStrength trainingSports conditioningRehabilitationMarathon coachingAthletic developmentOther
What is your preferred gender of trainer?

MaleFemaleNo preference
Additional Comments/Questions
Should be Empty: