Personal Training Client Form

REQUEST FOR PERSONAL TRAINING
Click here to learn more about current personal training pricing and to view personal trainers' bios.

Click here to view membership information, types and fees.

If you have any questions, please call 847-985-2143 or visit parkfun.com.
Do you have a preferred personal trainer? If yes, please provide their name.
A personal trainer will contact you within five business days. If you are unable to keep your appointment, we require at least 24 hours of advance notice. Missed appointments will be charged.
Contact Information
Name*

PrefixFirst NameLast Name
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
Health and Fitness
Please select what is closest to your current level of physical activity:*

Sedentary: Almost or completely inactive throughout the week. Not exercising.Some physical activity: Non-vigorous activity like walking or gardening. Occasional exercising.Moderately Active: Regular physical activity and/or training at least 3 times per week at the gym and/or running, swimming, biking, tennis, etc.Very Active: Regular physical activity and/or training at least 5 times per week.Vigorous Activity: Regular hard physical training for competitive sports such as skiing, soccer, football, competitive swimming, gymnastics, etc.
Do you have any physical limitations?*
What are your fitness goals?
Availability
Preferred Facility*

Community Recreation Center, 505 N. Springinsguth Road, SchaumburgMeineke Recreation Center, 220 E. Weathersfield Way, SchaumburgSchaumburg Tennis Plus, 1416 N. Payne Road, Schaumburg
Desired Day(s)*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Desired Time(s)*

Morning (6-10 a.m.)Mid-day (10 a.m.-2 p.m.)Afternoon (2-5 p.m.)Evening (5-9 p.m.)
Should be Empty:

REQUEST FOR PERSONAL TRAINING

Contact Information

Health and Fitness

Availability