Name *

First Name

Last Name

Gender *

Female

Male

Phone *

(###)

###

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Fitness Preference *

Which of these categories best describe your fitness goals? (choose all that apply)

recover from pain/surgery/injury, restorative, improve balance, stress relief

mobility, strengthen core & stabilizers, increase flexibility, enhance muscle tone, improve posture & alignment

high intensity interval training, agility, strength training & conditioning, boost sports performance

Which class types are you interested in? *

Check any and all that apply.

Solo Sessions

Group Sessions

What days of the week are you available? *

Check all that apply.

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

Saturdays

What time of day works best for your schedule? *

Check any and all that apply.

Early morning 7-9 a.m.

Later Morning 9-11 a.m.

30 min. Lunch Hour 12:15-12:45 pm

Afternoon 3:30-4:30 p.m.

Late Afternoon 4:30-5:30 p.m.

Early Evening 5:30 - 7:30 p.m.

Saturday mornings 8-11 a.m.

How do you prefer to be contacted?

Text

Call

Email