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Get Personal Training Request Form

Personal Training Request Form Name Age Gender Female Male STATUS Phone Banner ID Student Faculty/Staff Alumni Email Address City Zip Are you currently working with a trainer YES NO If yes whom Circle Requested Training Package Individual Training Packages Share-A-Trainer Packages 1 session for 25 4 sessions for 80 20/session 8 sessions for 130 16. 25/session 12 sessions for 180 15. 00/session Sharing with Referred By Preferred day s and time s of training sessions PLEASE NOTE This form must be turned in upon payment for sessions. This will ensure you that you are contacted by your trainer to schedule your first session* To receive optimum benefits from the personal training program it is recommended that a minimum of one session be used per week. Signature Staff Use Only Date Purchased Sold by Date Amount Paid Method of payment Date Trainer Contacted Date of Fitness Assessment. 25/session 12 sessions for 180 15. 00/session Sharing with Referred By Preferred day s and time s of training sessions PLEASE NOTE This form must be turned in upon payment for sessions. This will ensure you that you are contacted by your trainer to schedule your first session* To receive optimum benefits from the personal training program it is recommended that a minimum of one session be used per week. This will ensure you that you are contacted by your trainer to schedule your first session* To receive optimum benefits from the personal training program it is recommended that a minimum of one session be used per week. Signature Staff Use Only Date Purchased Sold by Date Amount Paid Method of payment Date Trainer Contacted Date of Fitness Assessment. 25/session 12 sessions for 180 15. 00/session Sharing with Referred By Preferred day s and time s of training sessions PLEASE NOTE This form must be turned in upon payment for sessions. This will ensure you that you are contacted by your trainer to schedule your first session* To receive optimum benefits from the personal training program it is recommended that a minimum of one session be used per week. Signature Staff Use Only Date Purchased Sold by Date Amount Paid Method of payment Date Trainer Contacted Date of Fitness Assessment.

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