Online ProTraining registration form
Please fill in the form below to register for your Online ProTraining.
*mandatory fields.
About me
First Name
*
This field is required
Last Name
*
This field is required
I am a PURE Cardholder
*
Yes
No
This field is required
Cardholder Number
*
This field is required
Mobile number
*
This field is required
Email
*
This field is required
Is this the first time you have had a personal trainner
*
Yes
No
This field is required
How long were you with a ProPT for?
*
Less than 6 months
6 months to 1 year
1 to 3 years
3 to 5 years
More than 5 years
This field is required
Are you currently a member of another fitness centre?
*
Yes
No
This field is required
Do you have any medical or physical conditions that may prevent you from engaging in physical exercise?
*
Yes
No
This field is required
Do you currently have any injuries?
*
Yes
No
This field is required
If you are female, are you currently pregnant?
*
Yes
No
This field is required
How many weeks into your pregnancy?
*
Are you currently exercising regularly?
*
Yes
No
This field is required
How often?
*
This field is required
What are your primary interests and/or fitness goals for taking Online ProTraining ? You can choose more than one option.
*
Lose weight
Reduce stress
Increase energy
Tone & firm
Sleep better
Rehabilitate injury
Increase flexibility
Build muscle and increase strength
This field is required
What is your preferred schedule for the Online ProTraining? You can choose more than one option.
*
Morning
Lunchtime
Afternoon
Evening
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
Sundays
This field is required
What are your preferred time slots? You can choose more than one option.
*
6am-9am
9am-12pm
12pm-2pm
2pm-6pm
6pm-9pm
This field is required
Please also list what country you are in for time zone considerations
*
This field is required
What is the total number of sessions you wish to have per week?
*
1 to 2
3 to 4
5 or more
This field is required
Which gender would you prefer for your PURE ProPT?
*
Male
Female
No preference
This field is required
Please pick your preferred language of instruction. You can choose more than one option.
*
Mandarin
English
This field is required
Any other important information you would like to provide for your Online ProTraining sessions?
*
This field is required
If you already have a preferred trainer, please let us know their name. Otherwise, we will find a suitable trainer based on your provided information. Please note that not all PURE ProPTs are available for Online ProTraining.
*
This field is required
Submit