Personal Training Intake Form

Please complete the form below to send us a message.

First Name Last Name Email Address Phone Number Which facility are you interested in? Peninsula Middle Peninsula Are you a member of Riverside Wellness & Fitness Center? Peninsula Middle Peninsula What types of personal training are you interested in? Strength training Aquatic personal training in the pool Weight management Cardiovascular training Flexibility training Balance/core training Other List other training type What time of day would you prefer? Morning (5am - 9am) Midday (9am - 3pm) Evening (3pm - 10pm) What days are most convenient for you? Monday Tuesday Wednesday Thursday Friday Saturday Sunday What type of trainer do you prefer? Male trainer Female trainer No preference Do you have a specific trainer in mind? Yes No Specify trainer's name