Required fields are marked with asterisks (*)

Certified Personal Trainers Form

We're excited to help you achieve your fitness goals. Please complete this form to share your preferences and objectives with us. The information you provide will enable us to pair you with a personal trainer who aligns perfectly with your needs.

First Name

Last Name

Phone Number

E-mail Address

Nature Fresh Farms Membership Status:

Member

Non-Member

Have you had previous experience with our Nature Fresh Farms Recreation Centre (NFFRC) personal trainers?

Yes, I have worked with a NFFRC personal trainer before

No, I have not worked with a NFFRC personal trainer before

Statement - Online Form Submission:

By submitting this online form to the Municipality, the user acknowledges that the submission is deemed to be a substitute for the user’s signature on the online form and signifies that the user has read, understood and agreed to the terms and conditions of the online form and any document referenced in the online form.

Please confirm that you have read and accept the "Statement - Online Form Submission"

Yes, I have read and accept the "Statement - Online Form Submission".

Privacy Statement:

The information requested is collected and used to determine selection of personal training and nutritions services. The information will be collected, used and disclosed in accordance with the Municipal Freedom of Information and Protection of Privacy Act. Questions about the collection and use of this information may be directed to the Manager of Legislative Services/Clerk, Municipality of Leamington, 111 Erie Street North, Leamington, Ontario, N8H 2Z9, Telephone: 519-326-5761.

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