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Personal Training Request Form
1
Applicant Information
2
Summary
3
Request Submitted
*
Required
Personal Training Request
We are pleased and excited to see that you have decided to take advantage of our Personal Training services.
For assistance in completing the form or if you wish to complete the form on paper, please contact Caledon Recreation Services at
905 584-2272 x. 7327
.
Contact Information
First Name
*
Last Name
*
Age
*
Phone Number
*
Phone Type
*
Home
Business
Cell
Fax
Alternate
Email
*
Additional Information
Trainer Name Preference (if any)
What type of session?
*
Private Orientation
Personal Training
Days and Times preferred?
*
How many times per week do you currently exercise?
*
What type of exercise?
*
Please indicate the facility preferred
*
Caledon Centre for Recreation & Wellness
Southfields Community Centre
Not Applicable
Privacy
*
I understand and acknowledge that personal information contained on this form is collected under the authority of the
Municipal Freedom of Information and Protection of Privacy Act
, and will be used for the collection of personal information in relation to maintaining Personal Training requests. Questions about this collection should be forwarded to the Municipal Freedom of Information Coordinator at 6311 Old Church Road, Caledon, ON L7C 1J6, 905.584.2272 or records@caledon.ca.
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