top of page

Personal Training Application

Personal training is an investment mentally, physically, and financially. In order to achieve your goals you must work hard and be dedicated. Please fill out the following form to inquire about personal training and to help us understand your goals.

Goals (select all that apply) Required
Current Activity Level Required

Terms and Conditions

All of the information listed on this form is correct and is true to the best of my knowledge. I understand that this form is to inquire about personal training opportunities and does not guarantee personal training services. If more information is needed I am willing to provide it. I have sought out any necessary medical advice and have been cleared to participate in personal training. I understand that all of the information provided will be kept confidential.  

Thanks for submitting!

  • Instagram
  • TikTok

© 2023 Mariam Lifts

bottom of page