Personal Training Request Form

PERSONAL TRAINING REQUEST
Date

MonthDayYear
Client Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Email Address*
example@example.com
Home Phone
Cell Phone*
Days Available for Training (Select all that apply)*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Times Available for Training*
Please list any and all timeframes that work best for you.
Times per Week You Wish to Work with a Trainer*
Please list your Health and Fitness Goal(s)
This form is a request for a Personal Trainer. Upon submission, the Huntley Park District will work to find a Personal Trainer that is available during the days and times you have requested. The Huntley Park District Fitness Manager will call or email you with any follow up questions about partnering you with a Personal Trainer. Once a match is found, you will be contacted directly by a Personal Trainer to set up your first session.

A Personal Training package must be purchased PRIOR to your first meeting with a Personal.
Should be Empty:

PERSONAL TRAINING REQUEST