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Application Form
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Indicates required field
Name
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First
Last
Email
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Phone Number
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Which service would you be applying for?
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In-Person Personal Training
Online Personal Training
Choose all that apply to your current fitness goal
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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
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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
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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
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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?
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Yes
No
How should I contact you on the status of your application?
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Call
Text
Email
Please list any and all previous medical injuries or surgeries
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Please go more into detail about why you want to start Personal Training!
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Anything else you would like to add?
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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
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APPLICATION FORM