Personal Trainer, Personal Training Arizona, Phoenix, Scottsdale Scott White.  Hire a Certified personal Trainer
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  Scott White

Personal Training

 

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Private Personal Training Studio
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Personal Training in Arizona, Phoenix, Scottsdale, Paradise Valley
 

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Fitness Boot camp!

 

Registering is EASY - It takes less than 5 minutes!

To pay by credit card on-line, fill out the Health History form (part 1)

& credit card info (part 2)

Or, to register over the phone, call Scott White at 480-628-1607

 

PLEASE DO NOT REGISTER UNTIL

YOU ARE READY TO GET INTO THE BEST PHYSICAL SHAPE OF YOUR LIFE!
 

 

PART 1

HEALTH HISTORY FORM - PERSONAL INFO

 * Required Fields 

*Full Name:
*E-mail Address:
*Mailing Address:
*City:
*State:
*Zip:
*Work Phone:
*Home Phone:
Fax Number:
Cell Number:
Referred By:
How did You Hear About Us
If The Internet Where:
*Age:

 

Family history of coronary artery disease
Hypertension: 140/90 or higher blood pressure
High Cholesterol
Do you have Diabetes?
Do you smoke?
Sedentary Lifestyle
List any other Injuries/ and Aliments or comments or questions.
 
Are you enlisting with a friend/spouse?
What is their name?
Fill in the amount you are paying today.

MORNING  BOOT CAMP 6 am (Mon. Wen. Fri.)

You may enlist after a course has started and can make up any of your missed days.

 

IMPORTANT INFORMATION

 

Once we have received this Health History/Registration form, we will confirm that your spot has been successfully reserved and will contact you to book your health screening.   All new recruits must go through a mandatory Health Screening prior to the start date (which is included in the price of your Boot Camp) and will last for one hour.  This form must be submitted PRIOR to participation in Boot Camp.

Terms and Conditions. Please read carefully.

 

 

 

By submitting this form, you understand and agree that this contract is electronically signed

and as such, you are waiving your right to a physical signature and agreeing

that this order form is enforceable without your physical signature. 

I agree to the terms listed

I disagree.

 

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Personal Power Training

14362 N. Frank Lloyd Wright Blvd., Suite 2138
Scottsdale AZ 85260

Phone: 480-628-1607

Email: info@personalpowertraining.net

 

 

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