PT Test Request Form
Let us know how we can help you!
Rank/Grade
*
Please Select
O-1/1 LT
O-2/1 LT
O-3/CAPT
0-4/ MAJ
O-5/ LT COL
Full Name
*
First Name
Last Name
Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
**You must be in PTG for your PT test
**Bring your profile (if applicable)
Appointment
*
Cardio Component
*
Please Select
20 M HAMR
2.0 Mile Run
2 KM Walk
Exempt
Muscular Component
*
Please Select
Pushups
Hand Release Push Ups
Exempt
Core Component
*
Please Select
Sit Ups
Cross Leg Reverse Crunch
Forearm Plank
Exempt
Submit
Should be Empty: