Virtual Personal Training Intake
Are you new to JCC Personal Training?
Yes
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
I am interesetd in
Private Training
Semi-Private Training
Small Group Training
We are so proud of you for choosing to make health a priority as we transition into our new "normal". In order for your trainer to effectively prepare for your virtual training sessions please check all that applies below with regards to what you have in your house.
Canned food
Books
Cable Machine
Chairs
Stairs
Medicine Ball
Coffee Table
Dumbbells
Tennis balls
Kitchen Table
Exercise Bands
Couch
Exercise Ball
Broom
Cardio Machine
Please let us know about any other items or equipment you may have that could be used.
Trainer's Name *fill in if currently training with someone or have a preference for a trainer
First Name
Last Name
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