PERSONAL TRAINING REQUEST FORMName: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 E-MailI prefer the training sessions to be in the: Morning Afternoon Evening Weekends AnytimePlease list any health concerns you may have (optional):Briefly describe your health and fitness goals: Thank you for completing our inquiry form. The information will be given to a personal trainer who will contact you to schedule your first appointment. Return the completed form to Jon Gutmann, email@example.com. 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.