PERSONALIZED SERVICES CONSULTATION FORM

Fitness Assessment

Pilates Reformer

Nutrition Counselling

Personal Training - # of sessions

First Name

Last Name

Date of Birth (YYYY/MM/DD)

Address

City / Town

State / Province

ZIP / Postal Code

Country

Phone

Yes

CANCELLATION POLICY

With less than 24 hours notice, you will be charged for your missed appointment.
It is your responsibility to contact your personal trainer directly to cancel the appointment and reschedule.

PLEASE NOTE - All packages and gift certificates must be used within one year from the purchase date.

*Require an answer to the question