Personal Training Inquiry Form

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Please complete the form below. This will give our Personal Training team a better idea of your goals and availability. Once you've answered each question, click "submit" and a Personal Training representative will contact you shortly.

First Name:

Email Address:

Last Name:

Address:

Phone Number:

Alternate Phone Number:

Best Way to Contact You:

Gender:

Male

Female

Age:

Are you a Body Zone member? *

Yes

Required

How often do you currently exercise per week?

What days and times work best for you to train?

What style(s) of training do you prefer?

Choose one or list a different one.

Interval training

Cardio (running, rowing)

Weight training

Kettlebell training

Olympic lifting

Bodyweight exercises (burpees, pushups, squats)

Just push me really hard

Other:

Do you have a training goal (5K, mud run)?

If interested in Small Group Training, how many days per week do you want to train?

Additional comments:

For more information, contact:

Jason Kelly
jkelly@bodyzonesports.com
Assistant Director of Wellness and Aquatics
610-376-2100

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