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Ready to Apply for our Personal Training Services?

Please download the application below, fill it out and email it back to us. Once we receive it we'll contact you to let you know our availability!
(Please sign up for HealthFIT Online to get access to the application.)

Think You're Ready to Sign Up, but You'd Like More Information?

Please contact us using the form below.
Information provided on this page is strictly confidential and will not be communicated
to anyone outside HealthFIT.

Contact Information
Name:
Email:
Phone: Please include best time to call
Please contact me by: email     phone
Questions or comments:
Health and Fitness Goals
Body Fat Loss     Lower Cholesterol
Strengthening     Lower Stress
Increase Energy     Lower Cholesterol
Reduce Chronic Pain    
Sport Specific Training, please specify which sport:
 
Rehab injury, please explain:
 
Other, please elaborate:
 
Health History
High Blood Pressure     Diabetes
Repetitive Stress Injury     Arthritis
Chronic Illness     Osteoporosis
Recent or upcoming pregnancy    
Other, please specify:
 
How Did You Find Our Web Site?
Personal Recommendation from:
 
Newspaper or Magazine, please specify which one:
 
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Other, please specify:
 

Contact Us:

HealthFIT
P.O. Box 60538
Palo Alto, CA 94306

Voice: (650) 306-0542
Fax: (801) 460-0542

Email

 

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