PERSONAL TRAINING REQUEST FORM

Name
(first and last):

Address:

City:

State:

Phone:

Email:


 


Please complete the following information so we can place you with the trainer who will best meet your needs.

 What is the best way to reach you?  Phone Email
 I prefer training sessions to be in the:  Morning Afternoon Evening Weekends Anytime
Please list any health concerns you may have (optional):
Briefly describe your health and fitness goals:

Thank you for completing our inquiry form. The completed form with be emailed to Fitness Manager, Jon Gutmann, jgutmann@richmondheights.org. He will then give the information to a personal trainer who will contact you to schedule your first appointment. If you have questions, please contact Jon at (314)655-3651. Non-members are welcome to train at THE HEIGHTS but are required to pay the daily fee to access the facility.