Harbor Athletic Club

Personal Training Interest Sheet

Note: Trainers may not be available immediately. A trainer will contact you within 3 business days.

Thank You for your interest!

Name *

Email *

Confirm Email *

Home Phone

Times to call Home

Work or Cell Phone

Times to Call Work/Cell

Are you a Harbor member? Yes No

Is weight loss a primary goal for you? Yes No

If "Yes", how many weight loss or diet programs have you tried?

Available appointment times

Interests, Goals & Health Concerns

Security Code

Thanks for your interest in Personal Training. We want you to get started as soon as possible with one of our many talented trainers.

Note: Trainers may not be available immediately. A trainer will contact you within 3 business days.