PERSONAL TRAINING APPLICATION Date MM DD YYYY Name * First Name Last Name Phone * (###) ### #### Email * Current Age * Current Weight * Current Height * Location Desired * Silver Lake Lincoln Park San Diego Geneseo Gold Coast What is your overall current fitness and health goals for training at Para Performance Co? * What is your current fitness program or routine? * Any current injuries or conditions your trainer should be aware of? * What are your preferred training day or days? * Monday Tuesday Wednesday Thursday Friday Saturday Sunday What are your preferred training times? * 5a-8a 9a-12p 12p-3p 3p-6p 7p-10p How frequently do you want to train each week? * 1 2 3 4 5 What date do you want to begin training? * Thank you!