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Personal Training Intake Form

Thank you for your interest! With some more information about you, we will match you with a trainer and set time for you to discuss your personal training at Peach Haus.

First name*

Last name*

Birthday*

Month

Day

Year

Address*

Phone*

Email*

Emergency Contact Name*

Emergency Contact Phone Number*

Please provide any information about your health/medical history your trainer should know:*

What are your current fitness goals? Select all that apply.*

Lose fat

Gain muscle

Increase strength

Improve endurance

Improve mobility

Improve athletic performance

General health

Other

Other:

How many times a week do you want to meet with a trainer?*

Please describe your availability to meet with a trainer - include specific days and times if applicable!*

Get in Touch

To Learn More or Collaborate with Peach Haus please assk us anything!

Address. 1046 N 4th St, Columbus OH 43201

Email. hello@thepeachhaus.com

Phone. 614-323-5600

Thanks for submitting!

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