Personal Training Sign-Up Form

Thank you for taking the time to provide as specific information as possible. This information will be very helpful as we work to match you with the ideal trainer to assist you in meeting your individual goals.

You will be contacted very soon to confirm that your information has been received. Shortly thereafter, you will be contacted by a personal trainer to begin the paperwork and payment process.

Please note: Completing and submitting this online form does NOT commit you any particular number of personal training sessions.

Personal Training Client Information Sheet

Sign-Up Form

Name:

Phone:

Email Address:

Begin Date:

Availability to meet with the trainer: *


Medical Conditions (such as heart disease, diabetes, asthma): *



Has your doctor ever told you that you should avoid exercise? * Yes No

Do you have any bone or joint problems? * Yes No

Are you taking any medication for high blood pressure, high cholesterol, or heart disease? * Yes No

If yes to any of these, please explain:

Please list your specific training goals:

Please describe your current physical activity level and exercise experience/history.

Please describe your learning style, personality, and the characteristics of an “ideal personal trainer” for you.