Fitness Consultation – The EDGE Sports & Fitness

Fitness/Personal Training Request

Complete the form below and our Fitness Department will contact you to start your personal training request.

Request Type*

Fitness Consult
Personal Training
Session Zero

Name

First Last

Email

Phone

Best Location(s) to meet a Fitness Professional

Essex, Gauthier Drive
S. Burlington, Twin Oaks
S. Burlington, Eastwood

Best Days to Meet

Best Times to Meet

Instructor Preference

Female
Male
Don't Care

Check all Activities that Interest You

You Selected "Other." Please provide more info.

You selected "Nutrition" from the list above. Please fill out the Health Insurance Information below and see if your Health Insurance pays for your nutritional services.

Policy Holder Name

Name of Insurance

Member ID Number

Date of Birth

Additional Info

List