Personal Training

Purpose Field

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Personal training pre-screen

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Current Height & Weight *

Age & Marital Status *

Availability *

Monday (early morning) Monday (afternoon) Tuesday (early morning) Tuesday (afternoon) Wednesday (early morning) Wednesday (afternoon) Thursday (early morning) Thursday (afternoon) Friday (early morning) Friday (afternoon)

Early morning (5:30 am - 11:00 am); Afternoon (12:00 pm - 3:00 pm)

Personal *

Do you have children? Are you currently pregnant? Do you drink alcohol? Do you smoke? Are you sexually active? Do you have a diagnosed mental health disorder? Are you employed? Do you feel fulfilled in life?

Answers are optional. Please answer only what you feel comfortable with. A non-check does not confirm a "yes" or "no".

What medications (if any) are you currently taking, and for what ailment? *

Please list any medical issues, personal issues, or related that may impact your performance and commitment. *

Tell us a little about yourself and what you are looking to achieve. *

Submit

"In the world you shall face tribulation, but be of good cheer; I have overcome the world."- John 16:33

Home
Objective
Mentorship
Roster
Media
Front Office
Memoriam
Donate
Contact