Personal Training Interest Form Date MM DD YYYY Name * First Name Last Name Email * Message * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Name of Preferred Trainer if Applicable Gender Preference Male Female No Preference Preferred Days Please choose which days are best for your schedule Sunday Monday Tuesday Wednesday Thursday Friday Saturday Preferred Time of Day Morning Afternoon Evening No Preference Your Fitness Level Beginner Intermediate Advanced Payment Procedure and Agreement - Sessions and packages must be paid in full prior to training unless otherwise specified by the program director. - Clients must notify trainer 24 hours prior to scheduled session or will be charged full cost of the session. Please contact your trainer directly. Please do not leave messages with the program director, front desk staff or welcome center. -Regardless of arrival time, sessions will end at the scheduled time. -By typing your name below you acknowledge that you have read, understand and accept these policies as they relate to the Southside VA Family YMCA personal training program. Thank you!
