Locker Room Carpet Replacement Project starts January 5. Women's Locker Room Closed Jan 5. Men' Locker Room Closed Jan 6. Family Locker Room Closed Jan 7. Thank you for your patience.

Personal Training Request Form

Client Information

First Name

Last Name

Primary Phone

date

*Parental consent is required for minors.

Availability (please list all available times)

How many times per week do you want to work with your personal trainer?

Please provide your availability for each day.

Time	Sunday	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday
AM
PM

If you have preferred times and days for personal training, please provide:

Activities & Goals

List your three main fitness/wellness goals:

What are your goals for personal training (weight loss, strength, cardiovascular fitness, etc)

How do you see the personal trainer helping you to meet your goals?