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Personal Training Request Form - Campbell University
Please fill out this form if you are interested in obtaining information or register for our personal training program at Campbell University Campus Recreation. Any questions, please direct to Cora-Ann Licwinko at clicwinko@campbell.edu Thank you!
What is your full name (first and last) *
Your answer
Birthdate: *
MM
/
DD
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YYYY
What is your best e-mail address to contact you at? *
Your answer
What is the best phone number to contact you at?
Your answer
May we text you?
What is your affiliation to Campbell University? *
Required
Main Interest for Personal Training *
Required
What is your preferred availability? (select all that could apply) *
Required
I acknowledge that I am being placed on a wait list until a trainer becomes available to meet with me? *
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