Iconix Long Beach Fitness Assessment Form

Iconix Long Beach Fitness Assessment Form

Iconix member! After you fill out this form, you will be contacted by one of our trainers to schedule your complimentary Fitness Assessment!
Are you an Iconix member?*
Fitness Assessments are only available to current Iconix members.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Communication Preference

Phone callEmailTextNo preference
Trainer Gender Preference

FemaleMaleNo preference
Specific Trainer Request

No PreferenceAJ ReaAlex SzelewskiAlexa TornquistCourtney LardasEmily CrawfordEmily LeybaGarrett SchumacherKoa Luce-YamamotoLo HathawayMaddie EngelMelaya PaloPaul KolososkiRick LudwigRilee RodmanRobin SandovalTravis PreciadoTroy DuffyYeshua YeazusZane Summers
Preferred time of day to train?
(AM or PM)
Do you have any particular fitness goals?
Should be Empty: