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Warlick Personal Training Interest Form
Please complete this short form and a YMCA staff member will contact you within 24 business hours
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* Indicates required question
Last/First Name
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
Personal Trainer Preference
Male Trainer
Female Trainer
Either
Clear selection
Current Activity Level
Very Active
Somewhat Active
Not Active
Clear selection
Day Preference (check all that apply)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
No preference
Required
Time preference (check all that apply)
*
Early Morning (5:00 8:00 am)
Morning (8:00 am - noon)
Early Afternoon (noon-3:00 pm)
After School (3:00 - 5:30 pm)
Evening (5:30 - 9:00 pm)
No preference
Required
Are you a current YMCA Member?
*
Yes
No
Other comments/goals:
Your answer
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