Your Senior Fitness Application Form
The purpose of this application is to see if you QUALIFY for our personal training coaching program.

Filling out this form by no means you QUALIFY for our coaching OR DOES NOT mean you are obliged to join anything.

Please fill out the application in full to the best of your ability and be as detailed as possible. We tend not to look at short answers as how can I help you if you don't what you want to achieve.

If you qualify, I will send you a text message to book in a phone consultation.

Once we have spoken over the phone and come to a conclusion - if this is not the right fit for you, we will virtually shake hands and go our separate way OR if our coaching program is the right fit for you, we will move you onto the next step and get you started.

Your success is my success.
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Full Name: *
Phone Number: *
Email: *
D.O.B: *
When is the best time and day to call you? *
Where are you located in Brisbane? *
Would you like to be put on a waiting list if there are currently no time slots available? *
Applicants on the waiting list get first priority.
What do you need help with? (Please be specific) *
Do you have current health concerns and injuries (Please be specific) *
What method have you TRIED in the past with regards to your health and fitness goal? *
Are you looking for short term fix OR long term lifestyle change? *
What are you looking for in a personal trainer coach (Please be specific) *
I know that working with Peter is by application only, but this is the reason why I'd be a great fit to work with him. *
Please fill in the blanks: I am... *
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