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Personal Training Interest Form

Personal Training Interest Form

Personal Training Interest

Name*
First Name *
Name*
Last Name *
I am Currently a YMCA of Greater Birmingham Membership Member*
Email Address*
Phone*
Date of Birth*
MM slash DD slash YYYY
Zip Code*
Preferred Branch*
Preferred Method of Contact*
I am interest in*
- Personal Training Sessions
- Fitness Assessment
- Both
Personal Training may be purchased in packages with our Certified Personal Trainers
Trainer Preference*
- Male
- Female
- No preference
Availability/Preference (Days)*
- Monday
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- Wednesday
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Availability/Preference (Time of Day)*
- Early morning
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- Afternoon
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Goals or Helpful Information

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