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Application Form

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Which service would you be applying for? *

In-Person Personal Training Online Personal Training

Choose all that apply to your current fitness goal *

I need help with motivation/confidence in the gym I currently struggle to achieve the physique that I want I would like to get stronger Other (Explain in text box at bottom of form)

Choose one that currently applies to your nutritional habits *

I feel completely confident in my diet I feel somewhat comfortable with my knowledge of nutrition I have zero idea on how to properly eat

Choose one that currently applies to your current fitness level *

I feel as if I am very fit I feel as if I am somewhat fit I feel as if I am out of shape

Choose one that currently applies to your total amount of time in the gym *

I have been training +2 years I have been training for 1-2 Years I have been training for less than a year I have zero gym experience

Have you worked with a Personal Trainer before? *

Yes No

How should I contact you on the status of your application? *

Call Text Email

Please list any and all previous medical injuries or surgeries *

Please go more into detail about why you want to start Personal Training! *

Anything else you would like to add? *

Submitting an application form does NOT guarantee a spot for In-Person or Online Training. You will receive a message back within 24 hours through your desired method of communication on the status of your application

Submit

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In-Person Training is held at "Fit Club" in Summerlin, Las Vegas
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1922 rock springs dr.
89128
Las Vegas, Nevada
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Questions? Click that tiny icon below to reach out to me directly

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