Name *

First Name

Last Name

Phone *

(###)

###

####

What days are you able to train? *

Check al that apply.

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

Saturdays

My schedule changes often.

What times are you able to train at? *

Check all that apply

6 AM

7 AM

8 AM

9 AM

4 PM

5 PM

6 PM

7 PM

Are you ready to invest only $99 to get started on your trial? *

YES! I want to start right away

No thanks, this isn't for me.

If you have an AMAZING experience and wish to join our Rise Family, which of the following Personal Training Memberships would you be interested in? *

4x/Week - $449/month

3x/Week - $349/month

2x/Week - $249/month