Personal Training Interest Form
Thank you for your interest in personal training at the Bob Crane Community Center. Please fill out the form below to help us understand your needs and preferences. Please Note: You must be a BCCC member to participate in our personal training program.
Full Name
First Name
Last Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Age Group
12-18
19-24
25-34
35-44
45-54
55-64
65 and older
Preferred Days for Training
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
No Preference
Preferred Time of Day for Training
Please Select
Early Morning (5:30 AM - 8 AM)
Late Morning (8 AM - 12 PM)
Afternoon (12 PM - 5 PM)
Evening (5 PM - 8 PM)
Preferred Number Days per Week
Please Select
1
2
>2
Fitness Goals
Weight Loss
Muscle Gain
Increased Endurance
Improved Flexibility
General Health
Sport-Specific Training
Injury Recovery
Other
Current Fitness Level
Beginner
Intermediate
Advanced
What type of training consistency are you looking for?
A one-time in-depth introduction to Nautilus strength machines and cardio equipment
Only a few sessions to learn new exercises
A long-term training regimen to keep me on track
Unsure - Just trying to see if personal training is right for me
Any Health Concerns or Injuries
How did you hear about our personal training services?
Friend/Family
Social Media
Website
Community Center Walk-In
Other
Additional Comments or Questions
Submit
Should be Empty: