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 Personal Training Registration

All information submitted through this form is completely confidential and visible to your trainer only.
Should you have any questions regarding this form, please let us know and we will be happy to assist :) 

Name *

Email *

Phone *

Physical Activity Experience

Resistance-Training Experience (if any)

Current Weight *

Height (ft) *

Date of Birth *

Current Weekly Activity Level * For example, if you work an office job with no weekly exercise, that would be considered sedentary. Select Sedentary Moderately Active Very Active

What are your goals? *

How many days per week (minimum) are you able to exercise? * Select 1 day per week 2 days per week 3 days per week 4 days per week 5 days per week 6 days per week

Program Type In Person Training Online Coaching Not Sure Yet

When would you like to start your program?

Pre-Existing Injuries / Health Conditions

Dietary Restrictions / Allergies (if any)

Supplementation

Profile Picture The maximum file size is 15mb (jpg, jpeg, png, pdf, doc, heic)

Additional Notes

I have read, understood & accept the Terms & Conditions.

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