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Personal Training Request Form

1. Client Information

A. Fitness Goals

B. Fitness Information

C. Fitness Experience

2. Availability

Please specify which days and times you would be available.

3. Location

Any personal information collected on this form will be managed in accordance with the Freedom of Information and Protection of Privacy Act. Direct enquiries, questions, or concerns regarding the collection, use, disclosure, or safeguarding of personal information associated with this form to: Supervisor, Information, Privacy, and Records Management, Township of Langley, 20338 – 65 Avenue, Langley, BC V2Y 3J1 604.532.7396