Gender:* Male Female Age: Height: feet inch Weight lbs
Telephone #:* Home: Work: Mobile: e-mail:*
Medical conditions, medications, allergies:*
do you prefer a male or female trainer (if known, list trainer’s name) how many times a week:* preffered session time: preferred days:* Mon Tue Wed Thu Fri Sat Sun Please select at least one day of the week. How long would you like the session: 45 Minutes 1 Hour
First Time Client? Referred by:
24-hour cancellation policy: If you must change or cancel a scheduled appointment, please call your trainer directly to cancel at least 24-hours prior to your session or you will be charged for the session.
Yes I agree* You must agree to the cancelation policy, if you want to sumbit the request