MIDDLESEX YMCA

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Personal Training Intake Form

What are your wellness goals? What do you hope to achieve by working with a trainer?

Have you had previous experience working with a personal trainer?

If yes, was it a positive experience? Were you able to achieve your goals?

How often are you interested in working with a personal trainer?

Would you prefer a male or female trainer?

Select your ideal days for training

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Tuesday

Wednesday

Thursday

Friday

Weekends

Select your ideal times for training.

Early AM

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Lunch Time

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HOURS OF OPERATION

ADDRESS

99 Union Street

Middletown, CT 06457

860-347-6907

FAX: 860-343-6254

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FACILITY HOLIDAY CLOSINGS

New Years Eve

New Years Day

Easter Day

Memorial Day

4th of July

Sunday 9.1.19

Labor Day 9.2.19

Thanksgiving Day

Christmas Eve

Christmas Day

CLOSES @ 3PM

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CLOSES @3PM

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