Email address *
First and Last Name *
Phone Number *
What kind of
Are you already a PURE gym member?
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What is your number 1 desired outcome from working together with a personal trainer or health coach?
Do you have any injuries that we should know about? Please describe.
Have you worked with a trainer in the past?
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If yes, what worked well for you? What did you really like about it?
If no, what are your expectations?
Tell us what you struggle most with?
How many times per week would you like to work 1:1 with a trainer?
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What is your preference of day/time?
Is there a specific trainer that you would like to work with? Please note their name here.
You acknowledge and understand that we do not do refunds on gym memberships, personal training or group fitness class passes. *no exceptions *
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CVC (back 3 digits)
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