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Request a Personal Trainer
Complete the following if you are interested in Personal Training or Group Training with HPC.
Email
Name
Phone
Address
Age Range
(optional)
Please select an option
18 - 25
26 - 35
36 - 45
46 - 55
56 - 65
65 +
Gender
(optional)
Female
Male
Type of Membership
(optional)
PAC Member
PAC Non - Member
Trainer Requested
(optional)
Requested Service
(optional)
Personal Training
Small Group Training 2-4 people *You must be responsible for finding group members
Please indicate preferred days and times
(optional)
Frequency
(optional)
1x/week
2x/week
3-5x/week
Program Design & Body Compositions
(optional)
Program Design
Body Composition
Are you new to the PAC ?
(optional)
Yes
No
How many days a week will you dedicate to physical activity?
(optional)
Please select an option
1
2
3
4
5
6
7
Fitness Goals
(optional)
Current Physical Activity
(optional)
Submit