Personal Training Inquiry Form

First Name
Last Name
Gender Male Female
Age
Height
Weight
Email
Home/Work Phone

Cell Phone
State Trainer Preference Male Female None
Trainers Name
Please indicate which days and times are convenient for you to train
Please state your personal goals for training
(i.e. weight loss, strength, etc.):
You will receive a phone call from a Premiere Fitness Club Certified fitness Trainer within 1-2 days of this inquiry. We would like to thank you for your interest in our personal training services. If you have further questions, please do not hesitate to contact Joe Nidea, Director of Fitness Training and Programs at (630) 645-9542