Name
Is the Training Participant a Salina Family YMCA Member?
Is There a Specific Personal Trainer with Whom You'd Like to Work?
How LONG Would You Like for Each Session to Last?
Which Days of the Week Are You AVAILABLE for Training?
Which Part(s) of the Day Are You Available for Training?
How Many Times/Week (Average) Do You Currently Work-Out?
How Would You Categorize the Intensity of Your Current Work-Outs?
What Are Your Personal Training Goals? (Check All That Apply)
Do You Have any Physical Conditions That Might Impact Training?
Phone Number Type?
Preferred Method for YMCA Staff Follow-Up: