YMCA Personal Training Interest

YMCA Personal Training Interest
Complete this form to contact our fitness staff about hiring a personal traininer to help you reach your goals for better health. Note: You must be a YMCA member to purchase personal training packages. Log in to your My Y Account and look for the Personal Training link at the top of the page. When you purchase a package online, a Y staff person will contact to arrange your first session.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Email*
Mobile*
Please enter a valid phone number.
Text Notification Opt-in**
I would like to receive Text/SMS communication from the YMCA
Why are you interested in personal training? (select all that apply)

Body fat reduction and/or weight lossPain preventionStress ManagementInjury preventionInjury rehabilitationTraining for specific event or goalOsteoporosis preventionMuscular strength & enduranceSport-specific strength & endurancePre/post natal exerciseCardiovascular conditioningAccountability, motivation & expert adviceOther
Have you worked with a YMCA personal trainer in the last year?

YesNo
Please list the name of your trainer and the branch location
Select the type of personal training package that would work for you: (select all that apply)

One-on-onePartner training (two people)Small-group training (3 to 4 people)
Do you have a partner(s) with whom you will train?

YesNo
Please select your branch location*
Are you interested in one of our specialty training options? (select all that apply)

Pilates (Magdalena Ecke, John A. Davis & South Bay)Glide training (Magdalena Ecke)Stretch Therapy (Rancho)One-on-one soccer training (Rancho)Aquatic training (Mission Valley, Mottino)Massage (Dan McKinney, Magdalena Ecke & McGrath)Reiki Therapy (Dan McKinney, Rancho)
What is your general availability? (Select all that apply; appointment times with your trainer will be scheduled after you purchase your package)

Weekday morningsWeekday afternoonsWeekday eveningsWeekends
If you have specific days/times you prefer, please list here:
Do you have a preference for a specific trainer or a trainer with a particular area of expertise or experience?
Do you have a question about our personal training program?
Lead Source
Lead Event
* By opting in to Text/SMS updates, you agree to receive periodic text messages from the YMCA of San Diego County including but not limited to YMCA account, membership or program activity as well as any indicated areas of interest. You can expect approximately 2-4 non-transaction related messages per month. There is no obligation, and you can opt out at any time by replying with the word "STOP" to any text message received. Standard message and data rates may apply. Your privacy is important to us; see our privacy policy for how we protect and use your data.
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