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2. Parker Parks and Recreation Pilates Reformer and Yoga Personal Training clients will work individually or in a group with a certified Pilates Reformer trainer or Yoga instructor to improve strength, flexibility, balance and core stability.
6. Client 1 Name:*
8. Age:*
10. Email:
12. Day Phone:*
14. Evening Phone:
18. Client 2 Name:
20. Age:
22. Email:
24. Day Phone:
26. Evening Phone:
30. Please indicate prior experience with Pilates/Yoga:

    1. Pilates Reformer
    2. Floor Work

    1. Both
    2. Neither
32. Please indicate which programs you are interested in:

    1. Pilates

    1. Yoga
34. Do you have any injuries or illnesses that we need to be aware of?
36. Generally, what day(s) are you available to meet with a trainer?

    1. M
    2. Tu
    3. W
    4. Th

    1. F
    2. Sa
    3. Su
38. Generally, what time(s) are your available to meet with a trainer?

    1. 5:30-8 a.m.
    2. 9 a.m.-noon
    3. 1-4 p.m.

    1. 5-8 p.m.
    2. Flexible
40. Do you already have a trainer in mind? (Please list)
42. Which training package do you think you may be interested in?

    1. 1 Session (50 min.)
    2. 3 Sessions (50 min. ea.)
    3. 5 Sessions (50 min. ea.)
    4. 10 Sessions (50 min. ea.)

    1. Semi-Private - 1 Session (50 min. ea.)
    2. Semi-Private - 3 Sessions (50 min. ea.)
    3. Semi-Private - 5 Sessions (50 min. ea.)
    4. Semi-Private - 10 Sessions (50 min. ea.)
44. Additional Comments:
48. You can expect a reply within 48 hours. If you have any questions, please contact Todd Panik, at 303.805.3278 or tpanik@parkeronline.org.
50. Cancelation Policy: A 24-hour cancelation notice is required for all scheduled appointments. Please contact your trainer if you are unable to attend a session. If you are unable to contact your trainer, please call the Recreation Center at 303.841.4500. If a 24-hour cancelation is not received, you will still be charged the full session.
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52. 1. Receive an email copy of this form.
53. Email address

    This field is not part of the form submission.

54. Submit

* indicates a required field