Personal Training Sign-Up Form
Are you currently a member of Aqua Energy Leisure Centre? *
Required
CLIENT INFORMATION
Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Address *
Your answer
Email *
Your answer
Contact Phone *
Your answer
Preferences/Personal Goals
Short Term: (eg. overcome injury, increase cardio, tone up, gain weight/size) *
Your answer
Long Term: (eg. maintain fitness levels, compete at elite level) *
Your answer
Current Level of Activity: *
Your answer
Perceived Current Level of Fitness *
Unfit
Very Fit
Preferred Training Times
Preferred days to train *
Required
Preferred session duration *
Sessions per week
Your answer
Preferred training times *
Required
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