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 Crystal Chavez at (562) 426 7601 ext 1076 or email cchavez@jewishlongbeach.org
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Preferred Contact Method
*
Phone
Email
Which days are you available to train?
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
How many times per week are you looking to train?
*
One
Two
Three
Four
Five
Six
What area would you like to focus on? Select all that apply
*
Weight management
Strength training
Sports conditioning
Rehabilitation
Marathon coaching
Athletic development
Other
What is your preferred gender of trainer?
Male
Female
No preference
Additional Comments/Questions
Submit
Should be Empty: