Peak Fit
1-on-1 Training Registration Form
How would you like to train?
*
Online only
In person only
Hybrid (online + in person)
Where will you have access to train?
*
Home Gym
Community/Apartment Gym
Peak Fit Facility (Alexandria, VA)
Commercial Gym (only for online sessions)
Gender
*
Male
Female
What is your height and weight?
*
Age
*
Year
How often do you want to workout during a week?
*
Please Select
1 Session
2 Sessions
3 Sessions
4 Sessions
5 Sessions
6 Sessions
7 Sessions
Please Choose
What is your fitness goal?
*
Building a habit of daily activity
Gain muscle mass
Fat/Weight loss
Rehabilitation or injury prevention
Improve athletic performance
What is your current activity level?
*
No physical activity
Light exercise 1-2 days per week
Moderate exercise 3-4 days per week
Intense exercise 5-6 days per week
Daily intense exercise or physical job
Do you prefer working with a male or female trainer?
*
Please Select
I prefer a male trainer
I prefer a female trainer
No preference
Full Name
*
First Name
Last Name
Email
*
example@example.com
Submit
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Phone Number
What is your approximate location? (City and ZIP code)
*
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