PERSONAL TRAINING REQUEST FORMName (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, email@example.com. 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.